Individual provider Active NPI

Gary Crisanto Gualberto, M.D.

  • Neurology Physician
  • Carlsbad, CA
National Provider Identifier
1689875668
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C138319 Issued in CA
Practice address
6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219
Phone
(760) 631-3000
Fax
(760) 270-9534
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X C138319 CA Primary
Hospitalist Physician 208M00000X C138319 CA
Neurocritical Care Physician 2084A2900X C138319 CA
Epilepsy Physician 2084E0001X C138319 CA

Addresses

Primary practice location

6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219

Mailing address

6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219
Phone (760) 631-3000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151208001987 CA Practitioner - NeurologyPractitioner - Epileptologists 0042460990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Epileptologists
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 633-6546

4002 Vista Way
Oceanside, CA 92056-4506
Phone (760) 940-3001

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-7346

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.58 of 100Reported as group
Quality
69.7
Promoting interoperability
100
Improvement activities
40
Cost
69.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C138319CAMDNeurocritical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North County Neurology Associates Medical Group Neurology CurrentSince Jan 1, 2016 Accepting new patients
Scripps Health Current Accepting new patients
North County Neurology Associates Medical Group Neurology CurrentSince Jan 1, 2016 Accepting new patients

Locations

6010 Hidden Valley Rd
Ste 200
Carlsbad, CA 92011

320 Santa Fe Dr
Ste 108
Encinitas, CA 92024
Phone (760) 436-4558

1955 Citracado Pkwy
Ste 102
Escondido, CA 92029
Phone (760) 631-0000

9850 Genesee Ave
Ste 220
La Jolla, CA 92037
Phone (858) 452-0996

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

3907 Waring Rd
Ste 2
Oceanside, CA 92056
Phone (760) 941-0221

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ggualberto33532@scrippshlth.medalliesdirect.net

Organizations & group practices 3

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 3

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1689875668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-631-3000",
            "fax_number": "760-270-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-631-3000",
            "fax_number": "760-270-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUALBERTO",
        "first_name": "GARY",
        "middle_name": "CRISANTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C138319",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C138319",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "CA",
            "license": "C138319",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "CA",
            "license": "C138319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.