Organization Active NPI

Gabriella Good MD LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Albuquerque, NM
National Provider Identifier
1023222916
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD20070033 Issued in NM
Legal business name
GABRIELLA GOOD MD LLC
Practice address
3015 Indian Farm LN NW
Albuquerque, NM 87107-2654
Phone
(505) 259-8694
Fax
(186) 660-7177
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Gabriella I Good, MD
Title
Registered Agent
Phone
(505) 259-8694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X MD20070033 NM Primary

Addresses

Primary practice location

3015 Indian Farm LN NW
Albuquerque, NM 87107-2654

Mailing address

3015 Indian Farm LN NW
Albuquerque, NM 87107-2654
Phone (505) 259-8694

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1023222916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 INDIAN FARM LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072654",
            "telephone_number": "505-259-8694",
            "fax_number": "186-660-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 INDIAN FARM LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072654",
            "telephone_number": "505-259-8694",
            "fax_number": "186-660-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLA GOOD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "GABRIELLA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "505-259-8694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NM",
            "license": "MD20070033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.