Individual provider Active NPI

Patricia Jean Gillis, MD

  • Emergency Medicine Physician
  • Northridge, CA
National Provider Identifier
1922058288
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A73899 Issued in CA
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

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A738990MedicaidCA

Other names 1

  • Patricia J Boyatt Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000842 CA Practitioner - Emergency Medicine 5799686846 Reassigns benefits to 4 organizations

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
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

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

LicenseStateTypeSpecialty
A73899CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeline Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Providence Facey Medical Foundation Current Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Elia Health & Wellness Inc CurrentSince Oct 8, 2024 Accepting new patients
Exer Medical Corporation CurrentSince Nov 10, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.