Individual provider Active NPI

Gina Gilson, OD

  • Optometrist
  • Mountain View, CA
National Provider Identifier
1275373581
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35690TLG Issued in CA
Practice address
495 Castro St
Mountain View, CA 94041-2086
Phone
(650) 967-6649
NPI assigned
May 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35690TLG CA Primary

Addresses

Primary practice location

495 Castro St
Mountain View, CA 94041-2086

Mailing address

3406 Rocky Mountain Dr
San Jose, CA 95127-4852

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717004366 CA Practitioner - Optometry 1557806239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

Rancho Cordova, CA 95670
Phone (888) 852-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35690CAMDPeriodontist
35690TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fourth Optometric Care of California Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

495 Castro St
Ste 200
Mountain View, CA 94041
Phone (650) 967-6649

495 Castro St
Mountain View, CA 94041
Phone (650) 957-6649

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Organizations & group practices 2

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": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1275373581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 ROCKY MOUNTAIN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CASTRO ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412086",
            "telephone_number": "650-967-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSON",
        "first_name": "GINA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35690TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.