Active NPI
Charlyne Gabriel-Jacques, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1154577732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP9213937
- Practice address
- 200 Oceangate Ste 100
Long Beach, CA 90802-4317 - Phone
- (305) 382-4161
- NPI assigned
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9213937 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 14213618-4405 | UT | |
| Primary Care Nurse Practitioner | 363LP2300X | ARNP9213937 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 13899 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9213937 | FL | Primary |
Addresses
Primary practice location
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Mailing address
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000342500 | Medicaid | FL |
Other names 1
- Mrs. Charlyne Gabriel-Jacques
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH, SC, TX, CT, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26132 | SC | MD | Pediatrics Physician |
| 10174 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Healthcare of Utah Inc | Family | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966
Interoperability endpoints
- cgabrieljacques10031@direct-prd.molinahealthcare.com
- https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- Midvale, UT
- NPI 1619486396
-
dba Molina CC
- Nurse Practitioner
- Long Beach, CA
- NPI 1407243223
CT, FL, OH, SC, TX
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1154577732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEANGATE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OCEANGATE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "305-382-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL-JACQUES",
"first_name": "CHARLYNE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9213937",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "UT",
"license": "14213618-4405",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP9213937",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "13899",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9213937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000342500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLYNE",
"last_name": "GABRIEL-JACQUES",
"prefix": "MRS.",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Long Beach, CA
- Future Care Medical Associates Ipa, Inc
- G Seo Dental Crop (Good Kids Dental)
- G. Scott Birnie, D.C., Inc.
- Sharon Mae Gabertan Tenazas, NURSE PRACTITIONER
- Samuel Gabler
- Emerenciana Garcia Gabriel, DMD
- Marie Bella Villamarin Gabriel, NP
- Viktor Gabriel, M.D.
- Gagik Avetikovich Gabrielyan, DO
- Evelyn Gacad
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.