NPIMap

Individual provider Active NPI

Gilbert Emile Faustina, MD

  • Surgery Physician
  • West Covina, CA
National Provider Identifier
1558303271
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C26359 Issued in CA
Practice address
818 W Cameron Ave
West Covina, CA 91790-4136
Phone
(626) 337-6246
Fax
(866) 497-6338
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C26359 CA Primary

Addresses

Primary practice location

818 W Cameron Ave
West Covina, CA 91790-4136

Mailing address

350 Arden Ave
Ste 100
Glendale, CA 91203-1110
Phone (818) 906-4466

Other practice location 1

350 Arden Ave
Ste 100
Glendale, CA 91203-1110
Phone (818) 906-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Vascular Surgery
Education
Meharry Medical College School of Medicine, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24053 Meadowbrook LN
Valencia, CA 91354-4938

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C26359CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Life Care Hospice Inc. CurrentSince Apr 26, 2020 Accepting new patients
Crystal Surgical Center Current Accepting new patients
BMB Medical Group, Inc Past Accepting new patients
Josef Integrated Management, Inc. Past Accepting new patients

Locations

10970 Arrow Rte
Ste 213
Rancho Cucamonga, CA 91730
Phone (747) 237-8507

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1558303271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ARDEN AVE",
            "address_2": "STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031110",
            "telephone_number": "818-906-4466",
            "fax_number": "818-475-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904136",
            "telephone_number": "626-337-6246",
            "fax_number": "866-497-6338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 ARDEN AVE",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031110",
            "country_code": "US",
            "telephone_number": "818-906-4466",
            "fax_number": "818-475-1785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUSTINA",
        "first_name": "GILBERT",
        "middle_name": "EMILE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C26359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.