DOUGLAS E. GIBSON (NPI# 1134207632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134207632 |
| Entity Type | Individual |
| Full Name | DOUGLAS E. GIBSON |
| Credential | MD |
| Practice Address |
2025 Morse Ave Sacramento CA 95825-2115 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 9169735000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A90553 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A905530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992009369 | Douglas Aaron Gibson | Licensed Practical Nurse | 59247 Armstrong Centerville Rd, Jacobsburg, OH 43933-9797 | 2010-12-28 |
| 1366522435 | Douglas P Gibson | Psychologist | 1250 E Marshall St, Psychiatry, Richmond, VA 23298-5051 | 2006-10-16 |
| 1700838448 | Douglas N. Gibson | Internal Medicine | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-05-17 |
| 1912987793 | Douglas S Gibson | Physical Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2006-01-18 |
| 1447245030 | Douglas W Gibson | Radiology | 263 Farmington Ave, Radiology, Farmington, CT 06030-2803 | 2005-09-20 |
| Street Address |
2025 MORSE AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033087 | Enrico Cusi Lallana | Psychiatry & Neurology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2005-06-17 |
| 1508476490 | Jiangshan Huang | Pharmacist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2020-08-05 |
| 1114536208 | Ronald Curtis Patterson | Respiratory Therapist, Registered | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2020-07-24 |
| 1427677699 | Nichole Zinn | Counselor | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2020-04-08 |
| 1326678350 | Srishti Sonrita Chand | Pharmacist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2020-01-17 |
| 1073151320 | Winnie Wong | Pharmacist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2019-12-17 |
| 1093352171 | Gurkaran Singh Randhawa | Pharmacist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2019-12-07 |
| 1053957795 | Brittnee Lister | Dietitian, Registered | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2019-11-18 |
| 1083257026 | Margaret D Marshall | Social Worker | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2019-10-22 |
| 1811539661 | Grace Gontarski Mcinnes | Physician Assistant | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2019-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568850709 | Jessica Paz | Emergency Medicine | 4610 X Street, Apt 154, Sacramento, CA 95817 | 2014-12-22 |
| 1215221635 | Alison Barrow | Emergency Medicine | 4100 Folsom Blvd, Unit 1b, Sacramento, CA 95819-4055 | 2011-06-02 |
| 1538458351 | Boomer Medical Clinic | Emergency Medicine | 3525 Watt Ave, Sacramento, CA 95821 | 2011-04-01 |
| 1245551001 | Jeffrey Lynn Wiswell Jr. | Emergency Medicine | 4150 V Street, Pssb Suite 2100, Dept of Emergency Medicine, Uc Davis Medical Center, Sacramento, CA 95817 | 2010-06-16 |
| 1114246287 | Julianne Marie Awrey | Emergency Medicine | 2315 Stockton Blvd., Pssb 2100, Sacramento, CA 95817 | 2010-05-27 |
| 1629394036 | Ryan Joseph Ribeira | Emergency Medicine | 3126 W St Apt 2, Sacramento, CA 95817-1273 | 2010-04-09 |
| 1427371087 | Omar R Washington | Emergency Medicine | 3424 52nd St, Sacramento, CA 95820 | 2010-03-10 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1508197591 | Seyun Kim | Emergency Medicine | 1501 16th St Apt 205, Sacramento, CA 95814-6075 | 2010-01-15 |
| 1205164050 | Sage Wexner | Emergency Medicine | 4510 V St, Suite 2100, Sacramento, CA 95817 | 2009-12-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.