Active NPI
Gabriela B Novota, M.D.
- Pediatrics Physician
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C155131
- Practice address
- 2210 Mesa Dr Ste 300
Oceanside, CA 92054-3701 - Phone
- (760) 736-6767
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.117485 | IL | |
| Pediatrics Physician | 208000000X | C155131 | CA | Primary |
Addresses
Primary practice location
2210 Mesa Dr Ste 300
Oceanside, CA 92054-3701
Mailing address
2210 Mesa Dr Ste 300
Oceanside, CA 92054-3701
Phone (760) 736-6767
Other names 1
- Gabriela B Freile
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C155131 | CA | MD | Pediatrics Physician |
| 036.117485 | IL | MD | Pediatrics Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Health Project Inc | Current | Accepting new patients | |
| North County Health Project Inc | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| North County Health Project Inc | Current | Accepting new patients | |
| North County Health Project Inc | Past | Accepting new patients |
Locations
2210 Mesa Dr
Ste 300
Oceanside, CA 92054
Phone (760) 757-5841
605 Crouch St
Bldg C
Oceanside, CA 92054
Phone (760) 757-4566
150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700
600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000
1 N Broadway St
Des Plaines, IL 60016
Phone (847) 298-3150
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- gnovota721138@direct.ochin.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1245246917
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
-
- Federally Qualified Health Center (FQHC)
- Carlsbad, CA
- NPI 1255347704
-
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1588489975
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1598844268
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
-
- Federally Qualified Health Center (FQHC)
- Ramona, CA
- NPI 1073529681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1154520096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 MESA DR STE 300",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920543701",
"telephone_number": "760-736-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MESA DR STE 300",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920543701",
"telephone_number": "760-736-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOTA",
"first_name": "GABRIELA",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.117485",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C155131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIELA",
"last_name": "FREILE",
"middle_name": "B",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.