Organization Active NPI

Robert L.R. Gibbs, MD - Incorporated

  • Surgery Physician
  • Lawndale, CA
National Provider Identifier
1093019036
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A73898 Issued in CA
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

Updated by the provider on Jan 19, 2011

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X A73989 CA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A73989 CA
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X A73898 CA Primary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.