Gabriel Zacharia Reagle DO

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

GABRIEL ZACHARIA REAGLE DO

Practice address

1400 E Church St
Santa Maria, CA 93454-5906

Phone

(805) 503-5312

Fax

(805) 973-2322

NPI assigned

May 30, 2019

Last updated

Jun 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabriel Zacharia Reagle, DO

Title

Ceo

Phone

(805) 503-5312

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1174181689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 WAVERTREE ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017831",
            "telephone_number": "805-503-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545906",
            "telephone_number": "805-503-5312",
            "fax_number": "805-973-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL ZACHARIA REAGLE DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "REAGLE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "ZACHARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-503-5312",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DO LICENSE",
            "identifier": "20A10912",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reginald Fulenwider
• Katie Fuller
• Susan Gayle Fuller, PHARM D
• Maria Cristina Fulmer
• Melissa A Funes
• Darhien Gaddis
• Dannah Mei-Yi Gager, MA, CCC-SLP
• Landon Gail
• Maria Gaitan
• Gaite

• Pulmonary Disease Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.