Individual provider Active NPI

Mary Gimness, DO

  • Internal Medicine Physician
  • Vista, CA
National Provider Identifier
1205934593
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A8635 Issued in CA
Practice address
130 Cedar Rd
Vista, CA 92083-5102
Phone
(760) 806-5500
NPI assigned
Sep 20, 2006
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A8635 CA Primary

Addresses

Primary practice location

130 Cedar Rd
Vista, CA 92083-5102

Mailing address

130 Cedar Rd
Vista, CA 92083-5102

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
I20050517001015 CA Practitioner - Internal Medicine 9133160468 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8635CAMDOptometrist
20A8635CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 West LLC CurrentSince Sep 9, 2024 Accepting new patients
California Post-Acute Medical Group 1, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Scripps Health Internal Medicine Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Sep 3, 2019 Accepting new patients
Ca Pacs 2 Medical Group Inc CurrentSince Feb 5, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Internal Medicine CurrentSince Sep 3, 2019 Accepting new patients
CS Pacs 3 Ca Medical Group Inc Internal Medicine CurrentSince Feb 4, 2025 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Inpatient Consultants of California, Inc. Internal Medicine Past Accepting new patients
Inpatient Consultants of California, Inc Internal Medicine Past Accepting new patients
Inpatient Consultants of California, Inc. Internal Medicine Past Accepting new patients

Locations

2176 Salk Ave
Carlsbad, CA 92008
Phone (760) 827-7200

21863 Vallejo St
Cherryland, CA 94541
Phone (510) 481-3200

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

1855 Miramonte Ave
Mountain View, CA 94040
Phone (650) 961-6484

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

302 Silver Ave
San Francisco, CA 94112
Phone (415) 334-2500

2295 Plummer Ave
San Jose, CA 95125
Phone (408) 269-0701

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

2620 Flores St
San Mateo, CA 94403
Phone (650) 349-2161

45 Professional Center Pkwy
San Rafael, CA 94903
Phone (415) 479-3610

20400 Saratoga Los Gatos Rd
#R
Saratoga, CA 95070
Phone (408) 741-2950

1002 W Fremont Ave
Sunnyvale, CA 94087
Phone (408) 739-2383

2200 Tuolumne St
Vallejo, CA 94589
Phone (707) 644-7401

130 Cedar Rd
Vista, CA 92083
Phone (760) 806-5400

130 Cedar Rd
Ste 220
Vista, CA 92083

Interoperability endpoints

  • Direct secure messaging: mgimness318858@scrippshlth.medalliesdirect.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1205934593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CEDAR RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CEDAR RD",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835102",
            "telephone_number": "760-806-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMNESS",
        "first_name": "MARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.