Active NPI
Gilbert Primary Care PC
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1720153810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GILBERT PRIMARY CARE PC
- Doing business as
- Gilbert Primary Care PC
- Practice address
- 3048 E Baseline Rd
Suite 120
Mesa, AZ 85204 - Phone
- (480) 505-3292
- Fax
- (480) 505-3288
- NPI assigned
- Nov 22, 2006
- Last updated
- Apr 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rene De Jesus
- Title
- Controller
- Phone
- (480) 505-3292
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AZ | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | AZ | ||
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
3048 E Baseline Rd
Suite 120
Mesa, AZ 85204
Mailing address
3048 E Baseline Rd
Suite 120
Mesa, AZ 85204
Phone (480) 505-3292
Other names 1
- Gilbert Primary Care PC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0980440 | Optum Primary Care-Gilbert Baseline | Certificate of waiver | Nov 20, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Mesa, AZ
- NPI 1679022164
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1629596747
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1548349624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364860800000",
"number": "1720153810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3048 E BASELINE RD",
"address_2": "SUITE 120",
"city": "MESA",
"state": "AZ",
"postal_code": "85204",
"telephone_number": "480-505-3292",
"fax_number": "480-505-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3048 E BASELINE RD",
"address_2": "SUITE 120",
"city": "MESA",
"state": "AZ",
"postal_code": "85204",
"telephone_number": "480-505-3292",
"fax_number": "480-505-3288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILBERT PRIMARY CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2013-04-02",
"status": "A",
"authorized_official_last_name": "DE JESUS",
"authorized_official_first_name": "RENE",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "480-505-3292"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gilbert Primary Care PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
- Gifthealth, Inc. (Gifthealth Pharmacy AZ)
- Gilbert Az Caregiving LLC
- Gilbert Childrens Medical Group Inc
- Gilbert J. Toffol, D.O., PLLC
- Gilbert Partners LLC-Dba- (Silver Creek Inn Memory Care)
- Gilbert Public Schools
- Gilbert Road Family Medicine PC
- Daniel R Gilbert, D.O.
- Veronica Gilbert, MS, LPC
- Gilberts Premier Surgical Ambulatory Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.