Active NPI
Robert L.R. Gibbs, MD - Incorporated
- Surgery Physician
- Lawndale, CA
National Provider Identifier
1093019036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A73898
- Legal business name
- ROBERT L.R. GIBBS, MD - INCORPORATED
- Doing business as
- Gibbs Medical Association
- Practice address
- 15338 Florwood Ave
Lawndale, CA 90260-2327 - Phone
- (877) 611-2112
- Fax
- (877) 469-2111
- NPI assigned
- Jan 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Lee Roosevelt Gibbs, MD
- Title
- Ceo/Medical Director
- Phone
- (877) 611-2112
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A73989 | CA | |
| Internal Medicine Physician | 207R00000X | A73989 | CA | |
| Surgery Physician | 208600000X | A73898 | CA | Primary |
| General Practice Physician | 208D00000X | A73989 | CA |
Addresses
Primary practice location
15338 Florwood Ave
Lawndale, CA 90260-2327
Mailing address
PO Box 91554
Los Angeles, CA 90009-1554
Phone (877) 611-2112
Other names 1
- Gibbs Medical Association
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295395200000",
"number": "1093019036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91554",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900091554",
"telephone_number": "877-611-2112",
"fax_number": "877-469-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15338 FLORWOOD AVE",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902602327",
"telephone_number": "877-611-2112",
"fax_number": "877-469-2111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT L.R. GIBBS, MD - INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-05",
"last_updated": "2011-01-19",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "LEE ROOSEVELT",
"authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "877-611-2112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A73989",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A73989",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A73898",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A73989",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gibbs Medical Association",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.