Active NPI
Bobby Ray Gilmore II, MSW
- Clinical Social Worker
- South Pasadena, CA
National Provider Identifier
1841485919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 81333
- Practice address
- 625 Fair Oaks Ave
Suite 300
South Pasadena, CA 91030-2630 - Phone
- (626) 395-7100
- NPI assigned
- Sep 11, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 81333 | CA | Primary |
Addresses
Primary practice location
625 Fair Oaks Ave
Suite 300
South Pasadena, CA 91030-2630
Mailing address
31321 The Old Rd Unit G
Castaic, CA 91384-4210
Phone (213) 284-8009
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 |
|---|---|---|---|
| 81333 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517788800000",
"number": "1841485919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31321 THE OLD RD UNIT G",
"city": "CASTAIC",
"state": "CA",
"postal_code": "913844210",
"telephone_number": "213-284-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 FAIR OAKS AVE",
"address_2": "SUITE 300",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910302630",
"telephone_number": "626-395-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "BOBBY",
"middle_name": "RAY",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2018-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "81333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.