Active NPI
Robert E Gibbons, D.C.
- Chiropractor
- Encino, CA
National Provider Identifier
1750003976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15717
- Practice address
- 16430 Ventura Blvd Ste 207
Encino, CA 91436-2141 - Phone
- (818) 478-9401
- NPI assigned
- Sep 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15717 | CA | Primary |
Addresses
Primary practice location
16430 Ventura Blvd Ste 207
Encino, CA 91436-2141
Mailing address
765 Warwick Ave
325
Thousand Oaks, CA 91360-3720
Phone (818) 284-1728
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.balancewithinyou.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15717 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1750003976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 WARWICK AVE",
"address_2": "325",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913603720",
"telephone_number": "818-284-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16430 VENTURA BLVD STE 207",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362141",
"telephone_number": "818-478-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "15717",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.balancewithinyou.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "16430 Ventura Blvd Ste 207",
"city": "Encino",
"state": "CA",
"country_code": "US",
"postal_code": "914362141",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.