Jacob Gibbens, JAKE GIBBENS

NPI 1891089298 · on the registry since 2011 · sole proprietor

Practice

Address: 710 Lawrence Expy Dept 340
Santa Clara, CA 95051
Phone: (408) 851-3570
Fax: (408) 851-3574
Organisation at this address: Kaiser Permanent
Akshay Bommireddi
Kaiser Permanente
Kaiser Permanente
Kaiser Foundation Hospitals
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 812

Registry record

Primary taxonomy: 207VM0101X
207VM0101X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California