Individual provider Active NPI

Tamiko M Gibson, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1366985277
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9332358 Issued in FL
Practice address
2401 E Katella Ave Ste 625
Anaheim, CA 92806-5995
Phone
(800) 570-4701
NPI assigned
Nov 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95029996 CA
Family Nurse Practitioner 363LF0000X 9332358 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9332358 FL Primary

Addresses

Primary practice location

2401 E Katella Ave Ste 625
Anaheim, CA 92806-5995

Mailing address

15748 SW 49TH CT
Miramar, FL 33027-4936
Phone (786) 348-6062

Other practice location 1

18964 SW 33rd Ct
Miramar, FL 33029-5838
Phone (786) 348-6062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231107004055 FL Practitioner - Nurse Practitioner 2264889526 Reassigns benefits to 1 organization
I20250423000151 CA Practitioner - Nurse Practitioner 2264889526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthur Bregman MD LLC 3 clinicians

Practice addresses (Care Compare)

1550 Madruga Ave
Suite 406
Coral Gables, FL 33146-3019
Phone (305) 740-3340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9332358FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Rosenman MD Professional Corporation CurrentSince Jan 2, 2025 Accepting new patients
Bregman Psychiatry LLC CurrentSince Sep 13, 2023 Accepting new patients
Doctors Collaborative Care Solutions PastSince Sep 13, 2023 Accepting new patients

Locations

2401 E Katella Ave
Ste 625
Anaheim, CA 92806
Phone (800) 570-4701

1550 Madruga Ave
Ste 201
Coral Gables, FL 33146
Phone (305) 740-3340

1550 Madruga Ave
Ste 406
Coral Gables, FL 33146
Phone (305) 740-3340

3321 N Buffalo Dr
Ste 225
Las Vegas, NV 89129
Phone (702) 816-0226

Organizations & group practices 3

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": "1480032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1366985277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15748 SW 49TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274936",
            "telephone_number": "786-348-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E KATELLA AVE STE 625",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065995",
            "telephone_number": "800-570-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18964 SW 33rd Ct",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295838",
            "country_code": "US",
            "telephone_number": "786-348-6062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TAMIKO",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-25",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029996",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9332358",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9332358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.