Active NPI
Robert North Gibson, P.A.
- Physician Assistant
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21862
- Practice address
- 3801 S Harbor Blvd
Santa Ana, CA 92704-7901 - Phone
- (714) 751-5555
- Fax
- (714) 751-9999
- NPI assigned
- Sep 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5892 | AZ | |
| Physician Assistant | 363A00000X | PA21862 | CA | Primary |
Addresses
Primary practice location
3801 S Harbor Blvd
Santa Ana, CA 92704-7901
Mailing address
20422 Mooncrest Cir
Huntington Beach, CA 92646-4748
Phone (714) 390-2072
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1190 Baker St
Suite 105
Costa Mesa, CA 92626-4105
Phone (714) 477-8460
15000 Kensington Park Dr
Suite 170
Tustin, CA 92782-1836
Phone (714) 477-8300
16205 Sand Canyon Ave
Suite 100
Irvine, CA 92618-3781
Phone (949) 557-0000
19582 Beach Blvd
Suite 180
Huntington Beach, CA 92648-5978
Phone (714) 477-8050
21115 Newport Coast Dr
Newport Beach, CA 92657-1122
Phone (949) 557-0730
26671 Aliso Creek Rd
Suite 101
Aliso Viejo, CA 92656-4807
Phone (949) 791-3107
49000 Barranca Pkwy
Suite 103
Irvine, CA 92604-8603
Phone (949) 791-3106
5341 Warner Ave
Huntington Beach, CA 92649-4078
Phone (714) 477-8450
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21862 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Hoag Hospital | Past | Accepting new patients | |
| Ucxtra Umbrella, LLC | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1326828575
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
- Urgent Care Clinic/Center
- Chandler, AZ
- NPI 1518952365
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1457634008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20422 MOONCREST CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926464748",
"telephone_number": "714-390-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S HARBOR BLVD",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047901",
"telephone_number": "714-751-5555",
"fax_number": "714-751-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ROBERT",
"middle_name": "NORTH",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-20",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5892",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.