NPI Details
Robert S Gitlin, D.O. is a family medicine in Redwood Valley, CA with 34 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Robert S Gitlin, D.O. NPI is 1104824010. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1992
The provider's business location address is:
8501 WEST RD
REDWOOD VALLEY, CA
ZIP 95470-583
Phone: (707) 485-6900
Fax: (707) 485-6909
The NPI 1104824010 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 05D0947538 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
- Extended patient service without direct patient contact, first hour (HCPCS:99358)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
The enumeration date for this NPI number is 7/13/2005 and was last updated on 2/7/2011.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | 20A6452 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | F69792 | MEDICARE UPIN | CALIFORNIA | |
| 2 | 020A64520 | MEDICARE ID-TYPE UNSPECIFIED | CALIFORNIA | MEDICARE ID |