Individual
SCOTT A. GILLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19553 SAN ELIJO AVE, STE 200, CARDIFF-BY-THE-SEA, CA 92007-2348
(858) 215-2618
(858) 365-5617
Mailing address
13990 MERCADO DR, DEL MAR, CA 92014
(858) 254-0512
(858) 365-5617
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G83435
CA
207LP3000X
Pediatric Anesthesiology Physician
Primary
G83435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G834350
BLUE SHIELD OF CA
CA
05
—
00G834350
—
CA
Enumeration date
07/10/2006
Last updated
07/24/2026
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