Provider Demographics
NPI:1992228308
Name:GILBERT, CALVIN LOUIS (NP-C)
Entity type:Individual
Prefix:
First Name:CALVIN
Middle Name:LOUIS
Last Name:GILBERT
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:MEGHANN
Other - Middle Name:LOUISE
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1735 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2417
Mailing Address - Country:US
Mailing Address - Phone:415-565-7667
Mailing Address - Fax:415-252-7512
Practice Address - Street 1:1735 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2417
Practice Address - Country:US
Practice Address - Phone:415-565-7667
Practice Address - Fax:415-252-7512
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0106281163W00000X
VT101.0129389363LF0000X
CA95007414363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse