Gary W. Gibbon, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A41221 Issued in CA

Practice address

2222 Santa Monica Blvd Ste 201
Santa Monica, CA 90404-2306

Phone

(310) 453-4090

Fax

(310) 935-3038

NPI assigned

Jul 24, 2006

Last updated

Jan 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mid-Valley Pulmonary Medical Group, Inc.

  • Pulmonary Disease Physician
  • Sherman Oaks, CA
  • NPI 1689688335
  Medicare reassignment NPD
• Oso Home Care, Inc.

  • Home Infusion Agency
  • Irvine, CA
  • NPI 1215966205
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1568484293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042306",
            "telephone_number": "310-453-4090",
            "fax_number": "310-829-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042306",
            "telephone_number": "310-453-4090",
            "fax_number": "310-935-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBON",
        "first_name": "GARY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A41221",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A41221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghozland and Youssef a Medical Corp
• Ghozland and Youssef Anesthesia Medical Group Inc
• Walid H. Ghurabi, D.O.
• Giaquinto Center for Digestive and Chiropractic Health Inc.
• James Richard Giaquinto
• Danielle R Gibson, MD
• Jasmine Nicole Gibson, LMFT
• Chungling Wang Gidding
• Gideon Psychology, PC
• Quincee Gideon

• Allergy & Immunology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.