DR. DOUGLAS N. GIBSON (NPI# 1700838448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700838448 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS N. GIBSON |
| Credential | M.D, |
| Practice Address |
10666 N Torrey Pines Rd La Jolla CA 92037-1027 |
| Mailing Address |
File # 54433 Los Angeles CA 90074-0001 |
| Practice Telephone | 8585548730 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A69985 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD OF CA | 00A699850 | 01 | |
| CA | 00A699850 | 05 | |
| CHAMPUS | F900 | 01 | |
| RAILROAD MEDICARE | P00393491 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992009369 | Douglas Aaron Gibson | Licensed Practical Nurse | 59247 Armstrong Centerville Rd, Jacobsburg, OH 43933-9797 | 2010-12-28 |
| 1134207632 | Douglas E. Gibson | Emergency Medicine | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| 1366522435 | Douglas P Gibson | Psychologist | 1250 E Marshall St, Psychiatry, Richmond, VA 23298-5051 | 2006-10-16 |
| 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 |
10666 N TORREY PINES RD |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513610 | James Francis Brown | Podiatrist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2005-07-26 |
| 1356958250 | Tyrone Bryant | Pharmacist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-09-25 |
| 1356965552 | Priya Reddy | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-06-03 |
| 1114541497 | Vivian Sardone | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-06-03 |
| 1174145387 | Samantha Tu Duong | Pharmacist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-05-11 |
| 1144840646 | Lee Kyung Hong | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-24 |
| 1548880503 | Aren Ebrahimi | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-20 |
| 1295355303 | Max Akihiro Macmillan | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-17 |
| 1336768886 | Jean Min | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-15 |
| 1780203232 | Sunit Rajit Shah | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205253259 | Marc Henis | Internal Medicine | 1734 Caminito Ardiente, La Jolla, CA 92037-7134 | 2014-03-26 |
| 1093027799 | Bradley Clark Nelson | Internal Medicine | 9500 Gilman Drive, Mail Code 7411, University of California San Diego Health System, La Jolla, CA 92037 | 2010-07-09 |
| 1699925545 | George Mendenhall | Internal Medicine | 9850 Genesee Ave Ste 940, La Jolla, CA 92037 | 2008-09-29 |
| 1962675462 | James Patrick Gray | Internal Medicine | 10820 N Torrey Pines Rd # Fc3, La Jolla, CA 92037-1036 | 2008-04-07 |
| 1780883082 | John Nader Bahadorani | Internal Medicine | 9434 Medical Center Dr, La Jolla, CA 92037-1337 | 2007-07-16 |
| 1124164991 | Thomas John Mcgarry | Internal Medicine | 9444 Medical Center Dr, Mc 7411, La Jolla, CA 92037-1337 | 2007-01-29 |
| 1417026436 | Marcus Lejon Williams | Internal Medicine | 10666 N Torrey Pines Road, La Jolla, CA 92037-1027 | 2006-11-06 |
| 1437239530 | Filip Fattohi | Internal Medicine | 9850 Genesee Ave Ste 770, La Jolla, CA 92037-1232 | 2006-10-16 |
| 1679584551 | Dennis L. Costello | Internal Medicine | 9850 Genesee Ave Ste 780, La Jolla, CA 92037-1232 | 2006-08-10 |
| 1336181858 | Ernest E Pund Jr. | Internal Medicine | 1796 La Jolla Rancho Rd, La Jolla, CA 92037-7847 | 2006-06-11 |
| Find all providers in LA JOLLA | ||||
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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.