Timothy W Gibson M D Inc

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

TIMOTHY W GIBSON M D INC

Practice address

19671 Beach Blvd Ste 315
Huntington Beach, CA 92648-5904

Phone

(714) 841-1911

Fax

(714) 841-6761

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Summer Bates

Title

Practice Manager

Phone

(714) 848-1911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy W Gibson, MD

  • Orthopaedic Surgery Physician
  • Huntington Beach, CA
  • NPI 1760464242
  Medicare reassignment NPD
• David H. Kim, M.D.

  • Orthopaedic Surgery Physician
  • Huntington Beach, CA
  • NPI 1255314431
  NPD (past)
• Peter McLean Reynolds, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Capitola, CA
  • NPI 1457364663
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1891808044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19671 BEACH BLVD STE 315",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485904",
            "telephone_number": "714-848-1911",
            "fax_number": "714-841-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19671 BEACH BLVD STE 315",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485904",
            "telephone_number": "714-841-1911",
            "fax_number": "714-841-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY W GIBSON M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "714-848-1911"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Robbiano Tilles, LVN
• Ben K Tilton, PSY.D.
• Lisa S Tilton, D.D.S.
• Timeless Medicine Inc
• Timothy C. Jankowski, OD, Inc
• Moe T Tin, MD
• Victoria Tindoc
• Tayla Diane Tingstad, DNP, CNM, WHNP-BC
• Kathryn Tinsley, LEP
• Melanie Tioleco-Cheng, M.D.

• Sports Medicine (Orthopaedic Surgery) Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.