Ralph William Gibbons, LPT 111

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT 19568 Issued in CA

Practice address

12440 Imperial Hwy
Suite 116
Norwalk, CA 90650-3177

Phone

(800) 854-7771

Fax

(562) 868-3749

NPI assigned

Nov 1, 2006

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

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215014840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 E. IMPERIAL HWY.",
            "address_2": "SUITE 116",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503177",
            "telephone_number": "800-854-7771",
            "fax_number": "562-868-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 IMPERIAL HWY",
            "address_2": "SUITE 116",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503177",
            "telephone_number": "800-854-7771",
            "fax_number": "562-868-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "RALPH",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LPT 111",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT 19568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dnaja Gates
• Ashley Gaytan
• Patricia Diane Gehr, PHD
• Jessica Gerges
• Justin Ghiam, D.D.S.
• Dominic T Gibbs
• McKenna Rachelle Gilbert
• Jasleen Gill
• Martin Mario Ginger
• Gionis Emergency Medical Group, Inc

• Licensed Psychiatric Technician in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.