Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gabriel Porter

Individual provider Gerontology Nurse Practitioner · NPI 1578214789

Gabriel Porter is a Nurse Practitioner in Arroyo Grande, California. Qualified in 2021, 5 years ago. Practices with J Robert West MD Inc, a 138-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

200 Station Way Ste E
Arroyo Grande, CA 93420-3348
Phone: (805) 202-7336
Fax: (805) 202-7153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95019600 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95019600 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95019600 (CA)

Record details

NPI number1578214789
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2022
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice J Robert West Md Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount