Gil John Pangelinan

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1304400518 Issued in CA

Practice address

1318 N Avalon Blvd
Wilmington, CA 90744-2639

Phone

(310) 549-2710

NPI assigned

Apr 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Behavioral Health Services

  • Case Management Agency
  • San Pedro, CA
  • NPI 1922451780
  NPD (past)
• Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • San Pedro, CA
  • NPI 1801147731
  NPD (past)
• BHS Wilmington Community Recovery Ceneter

  • Preferred Provider Organization
  • Wilmington, CA
  • NPI 1326415357
  NPD (past)

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1023570249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W 8TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313120",
            "telephone_number": "310-831-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442639",
            "telephone_number": "310-549-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 W 8th St",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907313120",
            "country_code": "US",
            "telephone_number": "310-831-2358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANGELINAN",
        "first_name": "GIL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1304400518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R1304400518",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Catalina Padilla
• Ralph Erbie Michael Paez, RDH
• Guadalupe Pallares, LVN
• Shelia Ann Palmer, SUD COUNSELOR II
• Jorge Luis Pando Guzman, DC
• Melanie Parham
• Eunice Park
• Yvette Marie Parra, RAS
• Vaishali Patel, DDS
• Juan Carlos Pena, M.D.

• Addiction (Substance Use Disorder) Counselor in Wilmington, CA
• Providers in Wilmington, 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 Apr 5, 2019; 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.