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

Gary Michael Raymond, FNP

Individual provider Family Nurse Practitioner · NPI 1134171390

Gary Michael Raymond, FNP is a Nurse Practitioner in San Luis Obispo, California. Qualified in 1985, 41 years ago. Practices with Department of State Hospitals, a 276-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
41
Licensed in
CA
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

47 Santa Rosa St 47 Santa Rosa
San Luis Obispo, CA 93405-5816
Phone: (805) 542-9596
Fax: (805) 594-1436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 320850 (CA)

Record details

NPI number1134171390
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESOctober 12, 2011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Department Of State Hospitals — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in San Luis Obispo