Individual provider Active NPI

Paul Gilbert Jr., M.D.

  • Child & Adolescent Psychiatry Physician
  • Kentfield, CA
National Provider Identifier
1821256181
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
G20657 Issued in CA
Practice address
1044 Sir Francis Drake Blvd Ste 3
Kentfield, CA 94904-1454
Phone
(415) 454-2466
Fax
(415) 381-2218
NPI assigned
May 22, 2008
Last updated
Mar 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X G20657 CA Primary

Addresses

Primary practice location

1044 Sir Francis Drake Blvd Ste 3
Kentfield, CA 94904-1454

Mailing address

1044 Sir Francis Drake Blvd Ste 3
Kentfield, CA 94904-1454
Phone (415) 454-2466

Other names 1

  • Dr. Paul Gilbert Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G20657CAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1821256181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 SIR FRANCIS DRAKE BLVD STE 3",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041454",
            "telephone_number": "415-454-2466",
            "fax_number": "415-381-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 SIR FRANCIS DRAKE BLVD STE 3",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041454",
            "telephone_number": "415-454-2466",
            "fax_number": "415-381-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G20657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "GILBERT",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kentfield, CA

Sources for this page

Verify at the official NPI Registry.