DR. JACK LONDON GILLS (NPI# 1487898250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487898250 |
| Entity Type | Individual |
| Full Name | DR. JACK LONDON GILLS |
| Credential | MD |
| Practice Address |
7707 Austin Rd Stockton CA 95215-8312 |
| Practice Telephone | 2094671483 |
| Mailing Telephone | 2094671483 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2015-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A123202 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7707 AUSTIN RD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95215-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134230485 | Saul B Zelan | Psychiatry & Neurology | 7707 Austin Rd, Stockton, CA 95215-8312 | 2006-08-31 |
| 1659981330 | Kamaljot Bajwa | Nurse Practitioner | 7707 Austin Rd, Stockton, CA 95215-8312 | 2020-08-06 |
| 1053956581 | Brian Lee Barker | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2019-11-07 |
| 1235795543 | Mike Kerr | Registered Nurse | 7707 Austin Rd, Stockton, CA 95215-8312 | 2019-05-13 |
| 1942792650 | Esmeralda J Pena | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-05-30 |
| 1306336888 | Debra Ann Robertson | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-05-10 |
| 1689162182 | Glenn Robert Lundberg | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-04-30 |
| 1104354273 | Tracy Monique Grissett | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-06-01 |
| 1609302959 | Melonie Shultz Shultz | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-05-05 |
| 1245764778 | Samantha Obanor | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566098 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 3663 E Arch Rd, Suite 400, Stockton, CA 95215 | 2016-09-19 |
| 1518392067 | Thuy Nhut Nguyen | Pharmacist | 7707 S Austin Rd, Stockton, CA 95215 | 2013-09-03 |
| 1154760270 | Stephanie Skewes | Psychologist | 7707 S Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-21 |
| 1053750398 | Steven Cartwright | Psychologist | 7707 S. Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-20 |
| 1447520465 | James E Telander | Psychologist | 7650 S. Newcastle Rd., Stockton, CA 95215 | 2012-01-06 |
| 1568479806 | John Carl Molthen | Chiropractor | 4795 E State Route 88, Stockton, CA 95215 | 2006-08-01 |
| 1932735420 | Corrections and Rehabilitation | Pharmacy | 7707 South Austin Road, Room 123, Stockton, CA 95215 | 2020-03-17 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| 1477809929 | Milagros Moreno Mcarthur | Licensed Psychiatric Technician | 10834 Copperopolis Rd, Stockton, CA 95215-1741 | 2012-08-01 |
| 1710535141 | Edith Reyes | Nurse Practitioner | 4815 Palmer Ave, Stockton, CA 95215-1824 | 2019-08-28 |
| Find all providers in zip 95215 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790139566 | Peter Alan Crist | Psychiatry & Neurology | 62 Wagner Rd, Stockton, NJ 08559-1412 | 2016-04-19 |
| 1982782892 | Arudra Bodepudi | Psychiatry & Neurology | 5250 Claremont Ave Ste 103, Stockton, CA 95207-5700 | 2006-11-01 |
| 1407932742 | John Matthew Yarbrough | Psychiatry & Neurology | 510 East Magnolia Street, Suite 100, Stockton, CA 95202 | 2006-10-30 |
| 1568567105 | Suryabanu Javeed | Psychiatry & Neurology | 1212 N California Street., Stockton, CA 95202 | 2006-09-14 |
| 1134230485 | Saul B Zelan | Psychiatry & Neurology | 7707 Austin Rd, Stockton, CA 95215-8312 | 2006-08-31 |
| 1144330572 | Jerry Travis Jones | Psychiatry & Neurology | 2522 Grand Canal Blvd, #1, Stockton, CA 95207-8213 | 2006-08-30 |
| 1194799395 | Jane Fernandez | Psychiatry & Neurology | 2522 Grand Canal Blvd Ste 1, Stockton, CA 95207-8213 | 2006-02-14 |
| 1841261054 | John Fong | Psychiatry & Neurology | 1130 Monaco Ct, Stockton, CA 95207 | 2006-01-27 |
| 1972592939 | Jin R. Soofi | Psychiatry & Neurology | 1212 N California St, Stockton, CA 95202-1552 | 2005-10-20 |
| 1891795076 | Alice Park | Psychiatry & Neurology | 1305 Tommydon St, Stockton, CA 95210-3364 | 2005-07-28 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.