Individual provider Active NPI

Gabriel Rey Famador, LVN

  • Licensed Vocational Nurse
  • El Cajon, CA
National Provider Identifier
1235009473
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
730843 Issued in CA
Practice address
675 E Bradley Ave
El Cajon, CA 92021-3110
Phone
(619) 448-6633
Fax
(619) 448-5462
NPI assigned
Nov 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164X00000X 730843 CA Primary

Addresses

Primary practice location

675 E Bradley Ave
El Cajon, CA 92021-3110

Mailing address

2417 Paseo Los Gatos
Chula Vista, CA 91914-4431
Phone (619) 947-4917

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
730843CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1235009473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 PASEO LOS GATOS",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144431",
            "telephone_number": "619-947-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E BRADLEY AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213110",
            "telephone_number": "619-448-6633",
            "fax_number": "619-448-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMADOR",
        "first_name": "GABRIEL REY",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "730843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.