LANT JARVIS ABERNATHY DPM NPI 1275198368

NPI Information

  • NPI: 1275198368
  • Provider Name: LANT JARVIS ABERNATHY, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 862 MEINECKE AVE STE 204
    SAN LUIS OBISPO, CA
    ZIP 93405
  • Phone: (805) 540-5770

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NPI Details

Lant Jarvis Abernathy, DPM is a foot and ankle surgery podiatrist in San Luis Obispo, CA with 7 years of experience. Lant Jarvis Abernathy, DPM NPI is 1275198368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduation Year:2019

The provider's business location address is:

862 MEINECKE AVE STE 204
SAN LUIS OBISPO, CA
ZIP 93405-703
Phone: (805) 540-5770
Fax: (888) 851-4755

The NPI 1275198368 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 5/5/2019 and was last updated on 1/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryE5955CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E5955OTHERCALIFORNIACA MEDICAL LICENSE
2E2424420OTHERCALIFORNIADRIVERS LISCENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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