Organization Active NPI

Michael Gillman M D Inc

  • Orthopedic Physical Therapist
  • Laguna Beach, CA
National Provider Identifier
1376737353
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
11300021 Issued in CA
Legal business name
MICHAEL GILLMAN M D INC
Practice address
31862 Coast Hwy
Suite 400
Laguna Beach, CA 92651-6769
Phone
(949) 499-8226
Fax
(949) 499-2430
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Dr. Michael J Gillman, M.D.NPI 1275536633
Title
Ceo
Phone
(949) 499-8226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X 11300021 CA Primary

Addresses

Primary practice location

31862 Coast Hwy
Suite 400
Laguna Beach, CA 92651-6769

Mailing address

31862 Coast Hwy
Suite 400
Laguna Beach, CA 92651-6769
Phone (949) 499-8226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071026000635 CA Part B Supplier - Clinic/Group Practice 0345337036 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Beach, CA; Orange, CA

National Provider Directory

National Provider Directory

Locations

31341 Niguel Rd
Ste G
Laguna Niguel, CA 92677
Phone (949) 234-9720

725 W La Veta Ave
Ste 260
Orange, CA 92868
Phone (714) 639-3750

1120 W La Veta Ave
Ste 260
Orange, CA 92868
Phone (714) 598-1745

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1376737353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31862 COAST HWY",
            "address_2": "SUITE 400",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516769",
            "telephone_number": "949-499-8226",
            "fax_number": "949-499-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31862 COAST HWY",
            "address_2": "SUITE 400",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516769",
            "telephone_number": "949-499-8226",
            "fax_number": "949-499-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL GILLMAN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "GILLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-499-8226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "11300021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.