Individual provider Active NPI

Robert S Gitlin, D.O.

  • Family Medicine Physician
  • Redwood Valley, CA
National Provider Identifier
1104824010
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6452 Issued in CA
Practice address
8501 West Rd
Redwood Valley, CA 95470-9583
Phone
(707) 485-6900
Fax
(707) 485-6909
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6452 CA Primary

Addresses

Primary practice location

8501 West Rd
Redwood Valley, CA 95470-9583

Mailing address

8501 West Rd
Redwood Valley, CA 95470-9583
Phone (707) 485-6900

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
I20050713000663 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6103852934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Redwood Valley Health Clinic, Inc.Group PAC ID 5496939480, 2 clinicians

Practice addresses (Care Compare)

8501 W Rd
Redwood Valley, CA 95470-9583
Phone (707) 462-3111

Hospital & facility affiliations

  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6452CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Valley Health Clinic, Inc. Family Medicine CurrentSince Mar 7, 2010 Accepting new patients
Willits Hospital Inc. Past Accepting new patients

Locations

8501 West Rd
Redwood Vly, CA 95470
Phone (707) 485-6900

Organizations & group practices 2

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.

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1104824010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 WEST RD",
            "city": "REDWOOD VALLEY",
            "state": "CA",
            "postal_code": "954709583",
            "telephone_number": "707-485-6900",
            "fax_number": "707-485-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WEST RD",
            "city": "REDWOOD VALLEY",
            "state": "CA",
            "postal_code": "954709583",
            "telephone_number": "707-485-6900",
            "fax_number": "707-485-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITLIN",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood Valley, CA

Sources for this page

Verify at the official NPI Registry.