Active NPI
Patricia Jean Gillis, MD
- Emergency Medicine Physician
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A73899
- Practice address
- 18300 Roscoe Blvd
Northridge, CA 91328 - Phone
- (818) 885-8500
- NPI assigned
- May 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A73899 | CA | Primary |
Addresses
Primary practice location
18300 Roscoe Blvd
Northridge, CA 91328
Mailing address
PO Box 12410
Westminster, CA 92685-1241
Phone (866) 234-5107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A738990 | Medicaid | CA |
Other names 1
- Patricia J Boyatt
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
- Emergency Medicine
- Education
- Loma Linda University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73899 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeline Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Elia Health & Wellness Inc | Current | Accepting new patients | |
| Exer Medical Corporation | Current | Accepting new patients | |
| Antelope Valley Emergency Medical Associates Inc | Emergency Medicine | Past | Accepting new patients |
Locations (25 of 62)
831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273
242 S Robertson Blvd
Beverly Hills, CA 90211
Phone (310) 652-2300
26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
9726 Venice Blvd
Culver City, CA 90232
Phone (310) 202-1300
390 N Pacific Coast Hwy
Ste 3000
El Segundo, CA 90245
Phone (818) 238-7081
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
424 W Broadway
Glendale, CA 91204
Phone (818) 796-5396
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
2968 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 522-9500
4143 Campus Dr
Ste C200
Irvine, CA 92612
Phone (949) 471-0002
475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377
5101 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 800-3883
16818 Hawthorne Blvd
Lawndale, CA 90260
Phone (310) 542-0800
4200 E Pacific Coast Hwy
Ste 150
Long Beach, CA 90804
Phone (562) 498-1555
File 50670
Los Angeles, CA 90074
1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336
11560 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 477-8285
8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020
8985 Venice Blvd
Los Angeles, CA 90034
Phone (310) 474-2152
269 S San Pedro St
Los Angeles, CA 90012
Phone (213) 947-3600
5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273
Interoperability endpoints
- pgillis@exer.direct.codonix.com
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Health Service Clinic/Center
- Woodland Hills, CA
- NPI 1881443422
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Emergency Medicine Physician
- Northridge, CA
- NPI 1972953230
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- Urgent Care Clinic/Center
- Santa Clarita, CA
- NPI 1922651561
-
- Emergency Medicine Physician
- Lancaster, CA
- NPI 1225054257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1922058288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12410",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926851241",
"telephone_number": "866-234-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91328",
"telephone_number": "818-885-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIS",
"first_name": "PATRICIA",
"middle_name": "JEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A73899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A738990",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "BOYATT",
"middle_name": "J",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.