Active NPI
Gabriel Rosenbloom
- Psychiatric/Mental Health Nurse Practitioner
- Panorama City, CA
National Provider Identifier
1063364164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95038439
- Practice address
- 14860 Roscoe Blvd Ste 306
Panorama City, CA 91402-7903 - Phone
- (818) 616-2122
- NPI assigned
- Feb 11, 2026
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95038439 | CA | Primary |
Addresses
Primary practice location
14860 Roscoe Blvd Ste 306
Panorama City, CA 91402-7903
Mailing address
14860 Roscoe Blvd Ste 306
Panorama City, CA 91402-7903
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95038439 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780790400000",
"number": "1063364164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14860 ROSCOE BLVD STE 306",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914027903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14860 ROSCOE BLVD STE 306",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914027903",
"telephone_number": "818-616-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBLOOM",
"first_name": "GABRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-11",
"last_updated": "2026-06-07",
"certification_date": "2026-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95038439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.