Active NPI
Rawan Gabr
- Behavior Technician
- Riverside, CA
National Provider Identifier
1013770494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6370 Magnolia Ave Ste 340
Riverside, CA 92506-2404 - Phone
- (888) 428-3223
- Fax
- (323) 866-1881
- NPI assigned
- Jan 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
6370 Magnolia Ave Ste 340
Riverside, CA 92506-2404
Mailing address
100 N Pacific Coast Hwy
El Segundo, CA 90245-4359
Phone (424) 210-9148
Other practice location 1
100 N Pacific Coast Hwy
El Segundo, CA 90245-4359
Phone (424) 210-9148
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1013770494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N PACIFIC COAST HWY",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454359",
"telephone_number": "424-210-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6370 MAGNOLIA AVE STE 340",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062404",
"telephone_number": "888-428-3223",
"fax_number": "323-866-1881"
}
],
"practiceLocations": [
{
"address_1": "100 N Pacific Coast Hwy",
"address_purpose": "LOCATION",
"city": "El Segundo",
"state": "CA",
"postal_code": "902454359",
"country_code": "US",
"telephone_number": "424-210-9148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GABR",
"first_name": "RAWAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-30",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.