Individual provider Active NPI

John David Gilbertson, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1700890548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NV 7390 Issued in NV
Practice address
816 West Owens Ave
VA North Clinic
Las Vegas, NV 89036-2516
Phone
(702) 636-3000
Fax
(702) 636-3007
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NV 7390 NV Primary

Addresses

Primary practice location

816 West Owens Ave
VA North Clinic
Las Vegas, NV 89036-2516

Mailing address

816 West Owens Ave
VA North Clinic
Las Vegas, NV 89036-2516
Phone (702) 636-3000

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NV 7390NVMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700890548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 WEST OWENS AVE",
            "address_2": "VA NORTH CLINIC",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "890362516",
            "telephone_number": "702-636-3000",
            "fax_number": "702-636-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 WEST OWENS AVE",
            "address_2": "VA NORTH CLINIC",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "890362516",
            "telephone_number": "702-636-3000",
            "fax_number": "702-636-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERTSON",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "NV 7390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.