Individual provider Active NPI

Hampton T Gaskins, MD

  • Specialist
  • Ontario, CA
National Provider Identifier
1265506109
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G36905 Issued in CA
Practice address
1814 E Elma CT
Ontario, CA 91764-4445
Phone
(909) 937-2000
Fax
(909) 937-2009
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G36905 CA Primary

Addresses

Primary practice location

1814 E Elma CT
Ontario, CA 91764-4445

Mailing address

PO Box 1368
Upland, CA 91785-1368
Phone (909) 937-2000

Other identifiers 1

IdentifierTypeStateIssuer
00G369050MedicaidCA

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
I20040227000616 CA Practitioner - Orthopedic Surgery 1456247113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton T Gaskins MD IncGroup PAC ID 1355403098, 2 clinicians

Practice addresses (Care Compare)

2671 Iowa Ave
Riverside, CA 92507-2804
Phone (951) 784-0444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36905CAMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton T Gaskins MD Inc Specialist CurrentSince Jun 30, 2008 Accepting new patients

Locations

7777 Milliken Ave
Ste 120
Rch Cucamonga, CA 91730
Phone (714) 945-2425

2671 Iowa Ave
Riverside, CA 92507
Phone (951) 784-0444

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265506109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851368",
            "telephone_number": "909-937-2000",
            "fax_number": "909-937-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 E ELMA CT",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644445",
            "telephone_number": "909-937-2000",
            "fax_number": "909-937-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKINS",
        "first_name": "HAMPTON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G36905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G369050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.