Neil Frank Gibbs, M.D.

Primary specialty

Pediatric Dermatology PhysicianTaxonomy code 207NP0225X

License

G62389 Issued in CA

Practice address

34520 Bob Wilson Dr
Dermatology Department, Naval Medical Center
San Diego, CA 92134-2300

Phone

(619) 532-9666

Fax

(619) 532-9458

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1932195567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 FINCHLEY TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301336",
            "telephone_number": "619-228-5132",
            "fax_number": "619-532-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34520 BOB WILSON DR",
            "address_2": "DERMATOLOGY DEPARTMENT, NAVAL MEDICAL CENTER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921342300",
            "telephone_number": "619-532-9666",
            "fax_number": "619-532-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "NEIL",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "G62389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Gibbons
• Wendy Ann Gibbons, PHARMD
• Christina Gabrielle Gibbs, LCSW
• Elisa Gibbs, RBT
• Michael Warren Gibbs, MD
• Nicholas Gibbs
• Travis Gibbs
• Shane M. Giblin, P.T.A.
• Joshua Mark Gibney, M.D.
• Courtney Jean Giboi, PSY.D.

• Pediatric Dermatology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.