Individual provider Active NPI

Sylvia A Gisi, M.D.

  • Family Medicine Physician
  • Temecula, CA
National Provider Identifier
1720052541
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A75954 Issued in CA
Practice address
31493 Rancho Pueblo
Suite 204
Temecula, CA 92592-4833
Phone
(951) 303-6158
Fax
(951) 303-8492
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A75954 CA Primary

Addresses

Primary practice location

31493 Rancho Pueblo
Suite 204
Temecula, CA 92592-4833

Mailing address

31493 Rancho Pueblo Rd
Suite 204
Temecula, CA 92592-4833
Phone (951) 303-6158

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
I20090513000387 CA Practitioner - Family Practice 2961456751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31493 Rancho Pueblo Rd
Temecula, CA 92592-4833
Phone (951) 303-6115

31493 Rancho Pueblo Rd
Suite 204
Temecula, CA 92592-4832

Hospital & facility affiliations

  • Valley Care Home Health Services, Inc Home health agency, Temecula, CA, CCN 058146

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75954CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sylvia a. Gisi M.D. Inc Family Medicine Current Accepting new patients
Sylvia a Gisi M D Inc Family Medicine CurrentSince Aug 1, 2004 Accepting new patients

Locations

31493 Rancho Pueblo Rd
Ste 204
Temecula, CA 92592
Phone (909) 270-2704

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 1

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1720052541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31493 RANCHO PUEBLO RD",
            "address_2": "SUITE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924833",
            "telephone_number": "951-303-6158",
            "fax_number": "951-303-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31493 RANCHO PUEBLO",
            "address_2": "SUITE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924833",
            "telephone_number": "951-303-6158",
            "fax_number": "951-303-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISI",
        "first_name": "SYLVIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A75954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.