Organization Active NPI

Gilbert D Callis MD Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1811146046
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C24147 Issued in CA
Legal business name
GILBERT D CALLIS MD INC
Practice address
866 N Vermont Ave
4
Los Angeles, CA 90029-3587
Phone
(323) 667-1008
Fax
(323) 667-1141
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Dr. Gilbert D Callis, MD
Title
President/Owner
Phone
(323) 667-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X C24147 CA Primary

Addresses

Primary practice location

866 N Vermont Ave
4
Los Angeles, CA 90029-3587

Mailing address

866 N Vermont Ave
4
Los Angeles, CA 90029-3587
Phone (323) 667-1008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1811146046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 N VERMONT AVE",
            "address_2": "4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293587",
            "telephone_number": "323-667-1008",
            "fax_number": "323-667-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 N VERMONT AVE",
            "address_2": "4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293587",
            "telephone_number": "323-667-1008",
            "fax_number": "323-667-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT D CALLIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "CALLIS",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "323-667-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C24147",
            "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 Sep 11, 2008; 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.