Individual provider Active NPI

Matthew Gibson, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1487910238
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A128104 Issued in CA
Practice address
7601 Hospital Dr
Ste 103
Sacramento, CA 95823-5408
Phone
(916) 681-1600
NPI assigned
Apr 5, 2012
Last updated
May 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A128104 CA
Family Medicine Physician 207Q00000X A128104 CA Primary

Addresses

Primary practice location

7601 Hospital Dr
Ste 103
Sacramento, CA 95823-5408

Mailing address

7601 Hospital Dr
Ste 103
Sacramento, CA 95823-5408
Phone (916) 681-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170823000987 CA Practitioner - Family PracticePractitioner - Psychiatry 8022315464 Reassigns benefits to 2 organizations
I20190913002407 NV Practitioner - Family Practice 8022315464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Psychiatry
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Community CareGroup PAC ID 9032458013, 9 clinicians

Practice addresses (Care Compare)

7601 Hospital Dr
Suite 103
Sacramento, CA 95823-5408
Phone (916) 681-1600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128104CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rabessler MD PC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Dignity Health CurrentSince Jul 10, 2017 Accepting new patients
Dignity Community Care CurrentSince Apr 2, 2019 Accepting new patients
Dignity Health CurrentSince Jul 10, 2017 Accepting new patients
Dignity Community Care CurrentSince Apr 2, 2019 Accepting new patients

Locations

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

7601 Hospital Dr
Ste 103
Sacramento, CA 95823
Phone (916) 681-1600

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1487910238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 HOSPITAL DR",
            "address_2": "STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235408",
            "telephone_number": "916-681-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 HOSPITAL DR",
            "address_2": "STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235408",
            "telephone_number": "916-681-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A128104",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A128104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.