Active NPI
Gerald Lee Tolbert, M.D.
- Emergency Medicine Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C200178
- Practice address
- 8910 Villa la Jolla Dr Ste 100
La Jolla, CA 92037-1701 - Phone
- (800) 926-8273
- NPI assigned
- Apr 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD61014484 | WA | |
| Emergency Medicine Physician | 207P00000X | C200178 | CA | Primary |
Addresses
Primary practice location
8910 Villa la Jolla Dr Ste 100
La Jolla, CA 92037-1701
Mailing address
File 57326
Los Angeles, CA 90074-7326
Phone (800) 926-8273
Other practice location 1
1550 N 115th St
Seattle, WA 98133-8401
Phone (206) 520-5000
Other practice location 2
6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-8273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205079522 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8910 Villa la Jolla Dr
Suite 100
La Jolla, CA 92037-1701
Phone (858) 657-7000
Hospital & facility affiliations
- UC San Diego Health Hillcrest - Hillcrest Med Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C200178 | CA | MD | Emergency Medicine Physician |
| MD61014484 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
Locations
8910 Villa La Jolla Dr
Ste 100
La Jolla, CA 92037
File 57326
Los Angeles, CA 90074
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
Organizations & group practices 3
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.
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
Emergency Medicine
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1205079522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900747326",
"telephone_number": "800-926-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8910 VILLA LA JOLLA DR STE 100",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371701",
"telephone_number": "800-926-8273"
}
],
"practiceLocations": [
{
"address_1": "1550 N 115th St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981338401",
"country_code": "US",
"telephone_number": "206-520-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6655 Alvarado Rd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921205208",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOLBERT",
"first_name": "GERALD",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-16",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD61014484",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C200178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205079522",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.