Individual provider Active NPI

Brianne Crystal Gober, M.D.

  • General Practice Physician
  • San Diego, CA
National Provider Identifier
1477713048
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A145392 Issued in CA
Practice address
9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361
Phone
(619) 560-6696
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A145392 CA Primary

Addresses

Primary practice location

9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361

Mailing address

9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361
Phone (619) 560-6696

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402000317 CA Practitioner - General Surgery 7719125590 Reassigns benefits to 5 organizations
Practice locations: El Cajon, CA; La Mesa, CA; Lemon Grove, CA; National City, CA; San Diego, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A145392CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GN Medical Associates, Inc. Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
HLMG Wound Care Inc Current Accepting new patients
Healthier Lifestyle Medical Group Inc CurrentSince Nov 27, 2023 Accepting new patients
Imperial Valley Wound Care Inc Current Accepting new patients
Vohra Wound Physicians of Ny, PLLC Family Medicine CurrentSince Jan 14, 2017 Accepting new patients
Signify Health Medical Associates of California, PC General Practice CurrentSince Mar 20, 2025 Accepting new patients
Pouya Afshar MD Inc CurrentSince Nov 12, 2018 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

510 E Washington Ave
El Cajon, CA 92020
Phone (619) 440-1211

350 Arden Ave
Ste 100
Glendale, CA 91203
Phone (818) 433-8113

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

3111 Camino del Rio N
Ste 625
San Diego, CA 92108
Phone (619) 738-5566

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1477713048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 PACIFIC HEIGHTS BLVD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214361",
            "telephone_number": "619-560-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 PACIFIC HEIGHTS BLVD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214361",
            "telephone_number": "619-560-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBER",
        "first_name": "BRIANNE",
        "middle_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A145392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.