Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Gilbert

Individual provider Psychiatry Physician · NPI 1457883605

Derek Gilbert is a Psychiatry in Santa Rosa, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Kentucky.

Years since qualifying
9
Licensed in
CA, KY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

480 Tesconi Cir Ste B
Santa Rosa, CA 95401-4691
Phone: (707) 206-7268
Fax: (707) 206-7254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 245 Fountain Ct, Lexington, KY 40509-2792 — (859) 323-6021

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A173547 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence R4404 (KY)

Record details

NPI number1457883605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2017
Last updated in NPPESSeptember 21, 2023
Certification dateJuly 9, 2021
Mailing address480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Rosa