Michael Kenneth Gilson, M.D., PH.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G69466 Issued in CA

Practice address

9500 Gilman Dr
Mc0736
La Jolla, CA 92093-0736

Phone

(858) 822-0622

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1043301195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "address_2": "MC0736",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930736",
            "telephone_number": "858-822-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "address_2": "MC0736",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930736",
            "telephone_number": "858-822-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSON",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0047320",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G69466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saron Efrem Gilazgi, MD
• Avnish Gill, M.D.
• Manpreet Gill, MD
• Mary Anne Grace Gilo
• Susan C. Gilroy, P.A.-C.
• Farah Giovannelli, PSYD
• Alexander Serge Giritsky, MD
• Lindsey Giunta, PSYD
• Daniel Given, M.D.
• Christian Michael Glackin, DDS

• General Practice Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.