Individual provider Active NPI

Sabrina Rochelle Gage

  • Adult Psychiatric/Mental Health Registered Nurse
  • San Pablo, CA
National Provider Identifier
1215254594
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
723228 Issued in CA
Practice address
2523 El Portal Dr
San Pablo, CA 94806-3305
Phone
(510) 215-3730
Fax
(510) 215-3751
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 723228 CA Primary

Addresses

Primary practice location

2523 El Portal Dr
San Pablo, CA 94806-3305

Mailing address

2523 El Portal Dr
San Pablo, CA 94806-3305
Phone (510) 215-3730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
723228CAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1215254594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 EL PORTAL DR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063305",
            "telephone_number": "510-215-3730",
            "fax_number": "510-215-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 EL PORTAL DR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063305",
            "telephone_number": "510-215-3730",
            "fax_number": "510-215-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "SABRINA",
        "middle_name": "ROCHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "723228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.