DR. GARY LIEB (NPI# 1912935396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912935396 |
| Entity Type | Individual |
| Full Name | DR. GARY LIEB |
| Credential | M.D. |
| Practice Address |
2620 Las Posas Rd Camarillo CA 93010-3400 |
| Practice Telephone | 8053832100 |
| Practice Fax Number | 8054454654 |
| Mailing Telephone | 8053832100 |
| Mailing Fax Number | 8054454654 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C51356 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2620 LAS POSAS RD |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1831542257 | F. Joseph Halcomb IIi | Internal Medicine | 2466 Avenida De La Rosa, Camarillo, CA 93012-9090 | 2016-07-20 |
| 1588036438 | David Haddad | Internal Medicine | 7208 Camino Las Ramblas, Camarillo, CA 93012-9207 | 2015-10-29 |
| 1174881346 | Christine Young Lee-kim | Internal Medicine | 2412 N. Ponderosa Drive, Suite B111, Camarillo, CA 93010 | 2012-04-25 |
| 1356650741 | Brian Santini Md A Professional Corporation | Internal Medicine | 3901 Las Posas Rd Ste 205, Camarillo, CA 93010-1506 | 2010-10-01 |
| 1770786881 | Erin Leigh Baldwin | Internal Medicine | 5051 Verdugo Way Ste 110, Camarillo, CA 93012-8680 | 2007-06-06 |
| 1063633170 | Edwina Skinner | Internal Medicine | 5051 Verdugo Way Ste 100, Camarillo, CA 93012-8681 | 2007-05-02 |
| 1588722573 | Christopher Mark Hynum | Internal Medicine | 3100 Wright Rd, Camarillo, CA 93010-8307 | 2006-12-04 |
| 1295828259 | Afrouz Gerayli Md Inc | Internal Medicine | 500 Paseo Camarillo, #100, Camarillo, CA 93010-5900 | 2006-10-02 |
| 1134139769 | Santa Rosa Medical Group, Inc. | Internal Medicine | 3661 E. Las Posas Rd, G162, Camarillo, CA 93010 | 2006-08-08 |
| 1407870652 | Jeffrey B Allan | Internal Medicine | 58 West Loop Dr, Camarillo, CA 93010 | 2006-07-27 |
| Find all providers in CAMARILLO | ||||
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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.