Active NPI
Gabriel Staros-Caldwell, RN, PMHNP-BC
- Psychiatric/Mental Health Registered Nurse
- Glendale, CA
National Provider Identifier
1225807597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN95334394
- Practice address
- 1509 Wilson Ter
Glendale, CA 91206-4007 - Phone
- (818) 409-8063
- Fax
- (818) 546-5618
- NPI assigned
- Dec 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95036538 | CA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN95334394 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1509 Wilson Ter
Glendale, CA 91206-4007
Mailing address
1223 N Keystone St
Burbank, CA 91506-1303
Phone (323) 377-7504
Other practice location 1
2400 Mission St
San Marino, CA 91108-1632
Phone (626) 403-8999
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN95334394 | CA | MD | Psychiatric/Mental Health Registered Nurse |
| NP95036538 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1225807597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 N KEYSTONE ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061303",
"telephone_number": "323-377-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 WILSON TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "818-409-8063",
"fax_number": "818-546-5618"
}
],
"practiceLocations": [
{
"address_1": "2400 Mission St",
"address_purpose": "LOCATION",
"city": "San Marino",
"state": "CA",
"postal_code": "911081632",
"country_code": "US",
"telephone_number": "626-403-8999",
"fax_number": "626-403-8989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAROS-CALDWELL",
"first_name": "GABRIEL",
"credential": "RN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-27",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NP95036538",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "RN95334394",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Stanton H. Joe, M.D., a Professional Corporation (Southern California Radiology Medical Group, a Prof. Corp.)
- Abigail M Stanton, MD
- Star Med LLC
- Star Urology Incorporated
- Michael A Stark, M.D.
- Stars & Angels Home Health Care, Inc.
- Start Life Chiropractic
- Starwood Home Health Care, Inc
- Starwood Hospice, Inc
- Statewide Hospice, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.