Active NPI
Paul Joseph Gibbs, PH. D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1801449145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY34056
- Practice address
- 3200 Motor Ave
Los Angeles, CA 90034-3710 - Phone
- (310) 836-1223
- NPI assigned
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY34056 | CA | Primary |
Addresses
Primary practice location
3200 Motor Ave
Los Angeles, CA 90034-3710
Mailing address
3200 Motor Ave
Los Angeles, CA 90034-3740
Phone (310) 836-1223
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230531002610 | CA | Practitioner - Clinical Psychologist | 0941667216 | Practice locations: Manhattan Beach, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 N Sepulveda Blvd
Suite 280
Manhattan Beach, CA 90266-5975
Phone (424) 291-1889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY34056 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1801449145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 MOTOR AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343740",
"telephone_number": "310-836-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 MOTOR AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343710",
"telephone_number": "310-836-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-16",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY34056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.