Healthcare Provider Details

I. General information

NPI: 1992228308
Provider Name (Legal Business Name): CALVIN LOUIS GILBERT NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MEGHANN LOUISE GILBERT

II. Dates (important events)

Enumeration Date: 07/18/2017
Last Update Date: 08/25/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 MISSION ST
SAN FRANCISCO CA
94103-2417
US

IV. Provider business mailing address

1735 MISSION ST
SAN FRANCISCO CA
94103-2417
US

V. Phone/Fax

Practice location:
  • Phone: 415-565-7667
  • Fax: 415-252-7512
Mailing address:
  • Phone: 415-565-7667
  • Fax: 415-252-7512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number026.0106281
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number101.0129389
License Number StateVT
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95007414
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: