MEDICARE: NATHAN THOMAS GILMORE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	A126324	CA

General Provider Information

NPI Number	:	1275725897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN THOMAS GILMORE MD

Provider Business Mailing Address
First Line	:	1 HOAG DR
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-4162
Country	:	US
Telephone Number	:	801-330-9242
Fax Number	:

Provider Business Practice Location Address
First Line	:	35410 DEL REY
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92624-1814
Country	:	US
Telephone Number	:	801-330-9242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	12/11/2024

Similar Medicare Providers

1760180129 — KATELYN CECIL
Practice Location Address:

35410 DEL REY
DANA POINT, CA
92624-1814

Practice Phone: 949-496-5786
Practice Fax:

1073320354 — MEDICUS OPTIMUS MEDICAL ASSOCIATES
Practice Location Address:

35410 DEL REY
DANA POINT, CA
92624-1814

Practice Phone: 801-330-9242
Practice Fax:

1427003359 — BEACON HEALTH SERVICES, INC.
Practice Location Address:

35410 DEL REY
CAPISTRANO BEACH, CA
92624-1814

Practice Phone: 949-496-5786
Practice Fax: 949-496-0540

1114059219 — CAPISTRANO BEACH CARE CENTER, LLC
Practice Location Address:

35410 DEL REY
CAPISTRANO BEACH, CA
92624-1814

Practice Phone: 949-496-5786
Practice Fax: 949-496-0540

1972200152 — DR. CHRISTOPHER EUGENE CARTER DPT
Practice Location Address:

35410 DEL REY
CAPISTRANO BEACH, CA
92624-1814

Practice Phone: 949-496-5786
Practice Fax:

1669162590 — CAPO BEACH HEALTHCARE LLC
Practice Location Address:

35410 DEL REY
CAPISTRANO BEACH, CA
92624-1814

Practice Phone: 949-496-5786
Practice Fax:

Directions to “ NATHAN THOMAS GILMORE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.