Individual provider Active NPI

John Schiller Gillick, MD, MPH

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
National Provider Identifier
1609845700
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
C31808 Issued in CA
Practice address
1947 Cable St
San Diego, CA 92107-2807
Phone
(619) 223-1652
Fax
(619) 223-5443
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X C31808 CA Primary
Internal Medicine Physician 207R00000X C31808 CA
Occupational Medicine Physician 2083X0100X C31808 CA

Addresses

Primary practice location

1947 Cable St
San Diego, CA 92107-2807

Mailing address

4069 Alameda Dr
San Diego, CA 92103-1607
Phone (610) 692-3609

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C31808CAMDPain Medicine (Anesthesiology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609845700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4069 ALAMEDA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031607",
            "telephone_number": "610-692-3609",
            "fax_number": "619-692-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 CABLE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072807",
            "telephone_number": "619-223-1652",
            "fax_number": "619-223-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLICK",
        "first_name": "JOHN",
        "middle_name": "SCHILLER",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "C31808",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C31808",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "C31808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.