Individual provider Active NPI

Gabriel Gabarain, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Riverside, CA
National Provider Identifier
1184971194
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
A155356 Issued in CA
Practice address
6848 Magnolia Ave Ste 220
Riverside, CA 92506-2858
Phone
(951) 981-2200
Fax
(951) 981-2201
NPI assigned
Aug 8, 2012
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X A155356 CA Primary
Diagnostic Radiology Physician 2085R0202X A155356 CA

Addresses

Primary practice location

6848 Magnolia Ave Ste 220
Riverside, CA 92506-2858

Mailing address

PO Box 7270
Moreno Valley, CA 92552-7270
Phone (951) 656-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180625000153 CA Practitioner - OtolaryngologyPractitioner - Diagnostic Radiology 5092060525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resurgent Head and Neck Surgeons IncGroup PAC ID 6103246434, 6 clinicians

Practice addresses (Care Compare)

6848 Magnolia Ave
Suite 220
Riverside, CA 92506-2858
Phone (951) 981-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A155356CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgent Head and Neck Surgeons, Inc. Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
California Kidney Specialists Single Specialty Past Accepting new patients

Locations

6848 Magnolia Ave
Ste 220
Riverside, CA 92506
Phone (951) 683-1166

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5192cc27-2764-47df-a8de-8ad1cf29ade6/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1184971194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7270",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925527270",
            "telephone_number": "951-656-1500",
            "fax_number": "951-656-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE STE 220",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062858",
            "telephone_number": "951-981-2200",
            "fax_number": "951-981-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABARAIN",
        "first_name": "GABRIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "A155356",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A155356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.