Gilbert David Bao

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

7477 Issued in CA

Practice address

284 Pennsylvania Dr Ste 1&2
Watsonville, CA 95076-3768

Phone

(831) 319-4200

NPI assigned

Jan 21, 2020

Last updated

Jan 21, 2020By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Janus of Santa Cruz

  dba Community Clinic South

  • Methadone Clinic
  • Watsonville, CA
  • NPI 1649601550
  NPD

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1982234720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 PENNSYLVANIA DR STE 1&2",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763768",
            "telephone_number": "831-319-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 PENNSYLVANIA DR STE 1&2",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763768",
            "telephone_number": "831-319-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAO",
        "first_name": "GILBERT",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "7477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arbin Aquino Bagamaspad
• Thomas Michael Baglin, D.C.
• Omid Bakhtar, D.O.
• Cesar Baltazar
• Barbara Jean Bannan, M.D.
• Deborah Barber
• Lourdes Hernandez Barraza, PSY. D.
• Gisselle Barrera
• Tony Romero Barrera
• Lesley Barreto

• Addiction (Substance Use Disorder) Counselor in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.