Julie Gibson

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Practice address

25352 Hillary LN
Laguna Hills, CA 92653-5217

Phone

(949) 412-1900

NPI assigned

Oct 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• SC Health Labs LLC

  • Clinical Medical Laboratory
  • Irvine, CA
  • NPI 1821705609
  NPD Authorized official
• Peppertree Management, LLC

  • Substance Abuse Rehabilitation Facility
  • Laguna Hills, CA
  • NPI 1750732483
  NPD (past) Authorized official

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1679945448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO # C-474",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736957",
            "telephone_number": "949-412-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25352 HILLARY LN",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535217",
            "telephone_number": "949-412-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghazvini MD,Inc
• Ali Ghazvini, M.D.
• Kenneth Kambiz Gheysar, M.D.
• Kia Ghiassi, D.O.
• Ruxanda Ghibu, D,M.D.
• Patricia Jane Gifford, MD
• Sara Gilles, PT
• Lindsi Morgen Gillespie
• Ronald D Gim, M.D.
• Ray H Gin, D.C.

• Substance Abuse Rehabilitation Facility in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.