Gilbert Diallo Madison, SUDCC III-CS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6230 Issued in CA

Practice address

17822 Beach Blvd Ste 278
Huntington Beach, CA 92647-7180

Phone

(714) 375-3795

Fax

(714) 375-3796

NPI assigned

Oct 30, 2012

Last updated

Jan 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• G. Diallo Madison Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roque Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Stanton, CA
  • NPI 1689772170
  NPD (past)
• Twin Town Corporation

  dba Twin Town Treatment Centers, Orange

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orange, CA
  • NPI 1407282247
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1003160912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 278",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477180",
            "telephone_number": "714-375-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 278",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477180",
            "telephone_number": "714-375-3795",
            "fax_number": "714-375-3796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10936 Dale Ave",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "CA",
            "postal_code": "906802724",
            "country_code": "US",
            "telephone_number": "714-952-4032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADISON",
        "first_name": "GILBERT",
        "middle_name": "DIALLO",
        "credential": "SUDCC III-CS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "6230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G.",
            "last_name": "MADISON",
            "middle_name": "DIALLO",
            "credential": "SUDCC III -  CS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cleve S Mackenzie, MD
• Jorrie Stuart Mackenzie, PH.D.
• Robert M Mackie, DMD
• Abolghassem Madani, DDS
• Gavin Maddox, MASSAGE THERAPIST
• Diana Madokoro, PHARM.D
• Madrigal Psychological Services
• Mary Grace Madrigal, PHD
• Chloe Magana
• Jazlyn Magana

• Addiction (Substance Use Disorder) Counselor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.