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NICHOLAS BRANDT PHYSICIAN ASSISTANT
NPI 1366203903
Physician Assistant in San Luis Obispo, CA

Active since January 22, 2024PECOS EnrolledAccepts Medicare Assignment
1941 JOHNSON AVE STE 101, SAN LUIS OBISPO, CA 93401(805) 782-8844(805) 549-6985 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Brandt Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS BRANDT PHYSICIAN ASSISTANT (NPI 1366203903) is an individual physician assistant in San Luis Obispo, California, licensed in California (PA67326) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2025).

NPPES Registry Identity

NPI1366203903
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS BRANDTCredential: PHYSICIAN ASSISTANT
Location Address1941 JOHNSON AVE STE 101San Luis Obispo, CA 93401-4154
Mailing Address1941 Johnson Ave Ste 101San Luis Obispo, CA 93401-4154 · (805) 782-8844 · Fax (805) 549-6985
Phone(805) 782-8844
Fax(805) 549-6985
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2025
Enumeration DateJanuary 22, 2024
Last NPPES UpdateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
✔ NPI 1366203903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA67326
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1941 JOHNSON AVE STE 101, San Luis Obispo, CA 93401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Brandt Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537654876
PECOS Enrollment IDI20251223003712
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLAN KALBAUGH PA-C
Physician Assistant (Medical)
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
MICHAEL DOYLE PA
Physician Assistant
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
MEGAN CHRISTINE HANSEN AGACNP
Nurse Practitioner (Acute Care)
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
DR. MATTHEW PETERSEN DO
Internal Medicine (Cardiovascular Disease)
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
JENNIFER ANNE SPRINGER M.D.
Internal Medicine (Cardiovascular Disease)
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
PACIFIC CENTRAL COAST HEALTH CENTERS
Clinic/Center (Community Health)
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
GHOLAMREZA FIROUZ POURZIA M.D.
Internal Medicine (Cardiovascular Disease)
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
RAZA MIAN MD
Internal Medicine (Interventional Cardiology)
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Brandt's NPI number?

The NPI number for Nicholas Brandt is 1366203903. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Nicholas Brandt located?

Nicholas Brandt practices at 1941 Johnson Ave Ste 101, San Luis Obispo, CA 93401. The listed phone number is (805) 782-8844.

What is Nicholas Brandt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Brandt enrolled in Medicare?

Yes. Nicholas Brandt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicholas Brandt was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.