Healthcare Provider Details

I. General information

NPI: 1881899912
Provider Name (Legal Business Name): THOMAS A GILBERT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 07/16/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 WILLOW PASS RD
CONCORD CA
94520-5823
US

IV. Provider business mailing address

1420 WILLOW PASS RD
CONCORD CA
94520-5823
US

V. Phone/Fax

Practice location:
  • Phone: 925-387-9575
  • Fax:
Mailing address:
  • Phone: 925-646-5480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: