Individual provider Active NPI

Cyntia E Gabert, 309045

  • Registered Nurse First Assistant
  • Modesto, CA
National Provider Identifier
1245492552
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
309045 Issued in CA
Practice address
2417 Pamela LN
Modesto, CA 95350-2530
Phone
(209) 571-2075
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 309045 CA Primary

Addresses

Primary practice location

2417 Pamela LN
Modesto, CA 95350-2530

Mailing address

2417 Pamela LN
Modesto, CA 95350-2530
Phone (209) 571-2075

Other identifiers 1

IdentifierTypeStateIssuer
1407983570OtherCAREGISTERED NURSE FIRST ASSISTANT

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
309045CAMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia E Gabert BSN, Rnfa Registered Nurse First Assistant Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1245492552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 PAMELA LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502530",
            "telephone_number": "209-571-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 PAMELA LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502530",
            "telephone_number": "209-571-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABERT",
        "first_name": "CYNTIA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "309045",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "309045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE FIRST ASSISTANT",
            "identifier": "1407983570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.