Healthcare Provider Details

I. General information

NPI: 1033546312
Provider Name (Legal Business Name): MONTEREY BAY INDEPENDENT PHYSICIAN ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 RYAN CT
MONTEREY CA
93940-7866
US

IV. Provider business mailing address

1051 E HILLSDALE BLVD SUITE 750
FOSTER CITY CA
94404-1640
US

V. Phone/Fax

Practice location:
  • Phone: 650-358-3114
  • Fax: 650-358-5706
Mailing address:
  • Phone: 650-358-3114
  • Fax: 650-358-5706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES GILBERT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 831-758-8223