Gabrielle Suzanne Clayton, NP
Individual provider Active NPI Family Nurse Practitioner · Brawley, CA
NPI 1245098300 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1245098300
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95028110 (CA)
- Practice address
- 900 Main St
Brawley, CA 92227-2630 - Phone
- (760) 344-6471
- Fax
- (760) 344-8410
- NPI assigned
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240508003686 | CA | Practitioner - Nurse Practitioner | 3971944935 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas de Salud del Pueblo Inc. | Current |
Accepting new patients | |
| Clinicas de Salud del Pueblo, Inc | Current | Accepting new patients | |
| Clinicas de Salud del Pueblo, Inc | Current |
Accepting new patients | |
| Clinicas de Salud del Pueblo, Inc. | Past | Accepting new patients |
Locations
900 Main St
Brawley, CA 92227
Phone (760) 344-6471
223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020
852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257
Interoperability endpoints
- gabrielle.clayton.p1@direct.cdsdp.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95028110 | CA | Yes |
Addresses
Primary practice location
900 Main St
Brawley, CA 92227-2630
Mailing address
852 E Danenberg Dr
El Centro, CA 92243-8517
Phone (760) 344-9951
Other providers in Brawley, CA
- Vincent Chiu
- Christopher C Lai MD a Professional Corporation
- City of Brawley
- Glenn Alan Clark
- Betty Clary-Trimm
- Alexander Christian Clemente
- Clifford Scott Goldthorpe PC
- Clinic of the Valley Inc
- Clinicas de Salud del Pueblo
- Clinicas de Salud del Pueblo, Inc
All providers in Brawley, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.