Individual provider Active NPI

Barbara E Gilbertson

  • General Practice Physician
  • Alturas, CA
National Provider Identifier
1225217409
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DO15593 Issued in OR
Practice address
535 S Main St
Alturas, CA 96101-4114
Phone
(530) 233-2288
NPI assigned
Oct 24, 2007
Last updated
Sep 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X DO15593 OR Primary
Pain Medicine Physician 208VP0000X DO15593 OR

Addresses

Primary practice location

535 S Main St
Alturas, CA 96101-4114

Mailing address

535 S Main St
Alturas, CA 96101-4114
Phone (530) 233-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20130425000062 OR Practitioner - Family Practice 8123012358 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12648CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Community Services Northwest CurrentSince Sep 1, 2019 Accepting new patients
Lutheran Community Services Northwest Current Accepting new patients
Klamath Pain Clinic PC PastSince Oct 3, 2002 Accepting new patients
Lake Health District PastSince Dec 16, 2020 Accepting new patients
Lake Health District Past Accepting new patients

Locations

2545 N Eldorado Ave
Klamath Falls, OR 97601
Phone (541) 883-3471

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/794039a8-89a5-42e7-a8af-b2a702849aea/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/91732642-b694-4776-bbd7-c7859cc968c4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1225217409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S MAIN ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961014114",
            "telephone_number": "530-233-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S MAIN ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961014114",
            "telephone_number": "530-233-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERTSON",
        "first_name": "BARBARA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "DO15593",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OR",
            "license": "DO15593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alturas, CA

Sources for this page

Verify at the official NPI Registry.