Organization Active NPI

Jean Warren Gillon Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Redwood City, CA
National Provider Identifier
1417391541
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
G56808 Issued in CA
Legal business name
JEAN WARREN GILLON MEDICAL CORPORATION
Practice address
2900 Whipple Ave Ste 200
Redwood City, CA 94062-2864
Phone
(650) 364-3828
Fax
(650) 361-1727
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Dr. Jean Warren Gillon, M.D.NPI 1265591515
Title
Owner
Phone
(650) 364-3828

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
Ambulatory Surgical Clinic/Center 261QA1903X G56808 CA Primary

Addresses

Primary practice location

2900 Whipple Ave Ste 200
Redwood City, CA 94062-2864

Mailing address

2900 Whipple Ave Ste 200
Redwood City, CA 94062-2864
Phone (650) 364-3828

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1417391541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WHIPPLE AVE STE 200",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622864",
            "telephone_number": "650-364-3828",
            "fax_number": "650-361-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WHIPPLE AVE STE 200",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622864",
            "telephone_number": "650-364-3828",
            "fax_number": "650-361-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN WARREN GILLON MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "GILLON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-364-3828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G56808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.