San Gabriel Clinica

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SAN GABRIEL CLINICA

Doing business as

Gabriel Psychiatry

Practice address

710 S Gregg St # 226
Big Spring, TX 79720-2425

Phone

(877) 654-9139

Fax

(877) 654-8335

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Gabriel C Eleda, MSN, APRN, PMHNP-BCNPI 1730571480

Title

Owner of Entity

Phone

(432) 652-2548

Specialties & licenses 2

Addresses

Other names 1

• GABRIEL PSYCHIATRY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriel Eleda

  • Psychiatric/Mental Health Nurse Practitioner
  • Irving, TX
  • NPI 1730571480
  Medicare reassignment Care Compare group NPD Authorized official
• Nadia Eleda, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lubbock, TX
  • NPI 1346610854
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1154094936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 BUENA VISTA DR",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797201180",
            "telephone_number": "877-654-9139",
            "fax_number": "877-654-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S GREGG ST # 226",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202425",
            "telephone_number": "877-654-9139",
            "fax_number": "877-654-8335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 S Gregg St # 228",
            "address_purpose": "LOCATION",
            "city": "Big Spring",
            "state": "TX",
            "postal_code": "797202425",
            "country_code": "US",
            "telephone_number": "877-654-9139",
            "fax_number": "877-654-8335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN GABRIEL CLINICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "ELEDA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "432-652-2548",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GABRIEL PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda L Sage, PT
• William Sage, R.PH
• Jimmie C Salazar
• Sheila Marie Salazar, RPH
• Amanda Kay Salgado
• Lauren Michelle Sanchez, LVN
• Kristyn R Sanders, DPT
• Scenic Managed Services, Inc. (SMMC Anesthesia)
• Scenic Managed Services, Inc. (SMMC Radiology)
• Sheldon C. Schelling, MA,MSW, CSW-PIP

• Psychiatric/Mental Health Nurse Practitioner in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.