Individual provider Active NPI

Manuel B Gabato, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1013026764
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5863 Issued in NV
Practice address
2410 Fire Mesa St
2410 Fire Mesa
Las Vegas, NV 89128-9016
Phone
(702) 636-6320
Fax
(702) 636-4020
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5863 NV Primary

Addresses

Primary practice location

2410 Fire Mesa St
2410 Fire Mesa
Las Vegas, NV 89128-9016

Mailing address

P.O Box 36001
2410 Fire Mesa St
North Las Vegas, NV 89036
Phone (702) 636-6320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5863NVMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013026764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 36001",
            "address_2": "2410 FIRE MESA ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89036",
            "telephone_number": "702-636-6320",
            "fax_number": "702-636-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 FIRE MESA ST",
            "address_2": "2410 FIRE MESA",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289016",
            "telephone_number": "702-636-6320",
            "fax_number": "702-636-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABATO",
        "first_name": "MANUEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "5863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.