Active NPI
Michael Austin Gibson, M.D.
- Cardiovascular Disease Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 8114646
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (714) 456-6699
- NPI assigned
- Oct 26, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | A114646 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | 8114646 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
101 The City Dr S
Orange, CA 92868-3201
Other practice location 1
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (619) 543-7777
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868
100 Mission Blvd
Jackson, CA 95642-2536
16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457
2 Medical Plaza Dr
Roseville, CA 95661-3042
2575 E Bidwell St
Suite 100
Folsom, CA 95630-6445
Phone (916) 817-3710
2800 L St
Sacramento, CA 95816-5616
2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600
3288 Bell Rd
Auburn, CA 95603-9243
Phone (530) 886-2300
3320 Bell Rd
Auburn, CA 95603-9243
Phone (530) 888-1266
440 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3409
444 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3420
8 Medical Plaza Dr
Roseville, CA 95661-3106
Phone (916) 782-5106
815 Court St
Jackson, CA 95642-2154
Hospital & facility affiliations
- Sutter Medical Center, Sacramento
- Sutter Roseville Medical Center
- Sutter Davis Hospital
- Sutter Auburn Faith Hospital
- Sutter Amador Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A114646 | CA | MD | Advanced Heart Failure and Transplant Cardiology Physician |
| 8114646 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| Regents of the University of California | Cardiovascular Disease | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Regents of the University of California - Ucsd Medical Group | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients |
Locations
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
19210 Jamboree Rd
Irvine, CA 92612
Phone (657) 579-7000
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
101 The City Dr S
Bldg 25
Orange, CA 92868
Phone (714) 456-5731
35900 Bob Hope Dr
Ste 257
Rancho Mirage, CA 92270
Phone (760) 321-2500
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Interoperability endpoints
- mgibson467727@hisp.ehr.sutterhealth.org
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1376646869
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
-
- Infectious Disease Physician
- Orange, CA
- NPI 1760430847
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Diego, CA
- NPI 1235232778
-
- Cardiovascular Disease Physician
- San Diego, CA
- NPI 1427176338
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Clinical Neurophysiology Physician
- San Diego, CA
- NPI 1881796811
-
- Gastroenterology Physician
- San Diego, CA
- NPI 1336267137
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Multi-Specialty Clinic/Center
- Yuba City, CA
- NPI 1992939565
-
- Hematology & Oncology Physician
- Orange, CA
- NPI 1356399380
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
-
- General Acute Care Hospital
- Davis, CA
- NPI 1770532608
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881920882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-456-6699"
}
],
"practiceLocations": [
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "619-543-7777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "MICHAEL",
"middle_name": "AUSTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "CA",
"license": "A114646",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "8114646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.