Paul Travis Giboney, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A67450 Issued in CA

Practice address

313 N Figueroa St
Room 531-a
Los Angeles, CA 90012-2602

Phone

(213) 240-8353

NPI assigned

Nov 13, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Northwestern University Feinberg Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

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.

• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment Care Compare group NPD
• County of Los Angeles

  dba H. Claude Hudson CHC

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1235142993
  NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• Usc Family Medicine Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1316142516
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1578634234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 PONTIAC STREET",
            "city": "LA CRESENTA",
            "state": "CA",
            "postal_code": "912141734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N FIGUEROA ST",
            "address_2": "ROOM 531-A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122602",
            "telephone_number": "213-240-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBONEY",
        "first_name": "PAUL",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A67450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WA67450C",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Theresa Gibbs
• Marcie Gibbs, SOCIAL WORKER
• Paul Joseph Gibbs, PH. D.
• Sophie Margaret Giberson
• Elise Gibney, PHD
• Aaliyah Gibson
• Anita L Gibson
• Christina Gibson
• Dajuan Gibson II
• Danisha Gibson, LVN

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.