Albert Randolph Gibbs, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY5390 Issued in CA

Practice address

3440 Motor Ave
Suite 210
Los Angeles, CA 90034-4793

Phone

(310) 559-5233

Fax

(310) 763-0372

NPI assigned

Jan 27, 2010

Last updated

Jan 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1154652303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 LOTUS ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900652522",
            "telephone_number": "310-559-5233",
            "fax_number": "310-763-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 MOTOR AVE",
            "address_2": "SUITE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344793",
            "telephone_number": "310-559-5233",
            "fax_number": "310-763-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "ALBERT",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY5390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ann Giauque
• Jean Gibb
• Era Mae Chua Gibbons
• James R Gibbons, DDS
• Sarah Gibbons
• Carlton Gibbs, SUDRC
• Diane E Gibbs, MSW
• Ian Corey Gibbs, D.M.D.
• Lucy Theresa Gibbs
• Marcie Gibbs, SOCIAL WORKER

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.