Gabriel P Wilds MD Apc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

GABRIEL P WILDS MD APC

Practice address

345 S Halcyon Rd
Arroyo Grande, CA 93420-3817

Phone

(408) 355-4624

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Gabriel Price Wilds, MDNPI 1871054130

Title

President

Phone

(408) 355-4624

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel Wilds

  • Physical Medicine & Rehabilitation Physician
  • Arroyo Grande, CA
  • NPI 1871054130
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1205525516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945260324",
            "telephone_number": "925-212-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S HALCYON RD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203817",
            "telephone_number": "408-355-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL P WILDS MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "WILDS",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "PRICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-355-4624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shani Francis, M.D.
• Lola J Friedmann, MA MFC
• From the Couch: Child & Family Counseling, Inc.
• Jenny Frost, L.AC.
• Leo Frost, C.M.T. BCSI
• Laura Emily Haney Gabrielson, P.T.
• Amber L Gambel
• Leticia Garcia, RN
• Brendan M Gard, MS, BCBA
• Austin Garza, DC

• Rehabilitation Clinic/Center in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.