GARY MARVIN WILLARD M.D. NPI 1588780373

NPI Information

  • NPI: 1588780373
  • Provider Name: GARY MARVIN WILLARD, M.D.
  • Classification: Emergency Medicine - 207PE0005X
  • Specialization: Undersea and Hyperbaric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2588F EL CAMINO REAL STE 127
    CARLSBAD, CA
    ZIP 92008
  • Phone: (619) 564-4644

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NPI Details

Gary Marvin Willard, M.D. is an undersea and hyperbaric medicine emergency medicine in Carlsbad, CA. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. Gary Marvin Willard, M.D. NPI is 1588780373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2588F EL CAMINO REAL STE 127
CARLSBAD, CA
ZIP 92008-201
Phone: (619) 564-4644
Fax: (619) 810-2430

The NPI 1588780373 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 enumeration date for this NPI number is 3/22/2007 and was last updated on 10/18/2019.

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
1174400000XSpecialistA34995CALIFORNIANo
2207PE0005XEmergency MedicineUndersea and Hyperbaric Medicine254000NEW YORKYes

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
103132152MEDICAIDCALIFORNIA
2FE799ZOTHERCALIFORNIAMEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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