Individual provider Active NPI

Robert L.R. Gibbs, MD

  • Emergency Medicine Physician
  • Torrance, CA
National Provider Identifier
1043326366
Registry record updated Jul 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A73898 Issued in CA
Practice address
24325 Crenshaw Blvd
# 283
Torrance, CA 90505-5349
Phone
(424) 777-6642
Fax
(877) 223-4535
NPI assigned
Aug 21, 2006
Last updated
Jul 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A73898 CA Primary
Surgery Physician 208600000X A73898 CA
Health Educator 174H00000X A73989 CA
Internal Medicine Physician 207R00000X A73989 CA

Addresses

Primary practice location

24325 Crenshaw Blvd
# 283
Torrance, CA 90505-5349

Mailing address

24325 Crenshaw Blvd
# 283
Torrance, CA 90505-5349
Phone (424) 777-6642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608001056 CA Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - General SurgeryPractitioner - Internal Medicine 1658314760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice, General Surgery, Internal Medicine
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ER Physicians Medical Group IncGroup PAC ID 6406008499, 6 clinicians

Practice addresses (Care Compare)

13222 Bloomfield Ave
Norwalk, CA 90650-3249
Phone (562) 863-4763

4081 E Olympic Blvd
Los Angeles, CA 90023-3330
Phone (323) 267-0477

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A73989CAMDHealth Educator
A73898CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine Current Accepting new patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
California Hospitalists Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients

Locations

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

4081 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 267-0477

6245 De Longpre Ave
Los Angeles, CA 90028
Phone (310) 425-2272

13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468713600000",
    "number": "1043326366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24325 CRENSHAW BLVD",
            "address_2": "# 283",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055349",
            "telephone_number": "424-777-6642",
            "fax_number": "877-223-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24325 CRENSHAW BLVD",
            "address_2": "# 283",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055349",
            "telephone_number": "424-777-6642",
            "fax_number": "877-223-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "ROBERT",
        "middle_name": "L.R.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2016-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A73898",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A73898",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "A73989",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.