Abigail Gachuz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1149 W 190TH St Ste 2200
Gardena, CA 90248-4344

Phone

(310) 856-0800

Fax

(855) 568-2494

NPI assigned

Jan 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Smile Pediatric Speech Therapy & Diagnostics Inc.

  dba Smile Pediatric Therapy & Diagnostics

  • Speech-Language Pathologist
  • Los Angeles, CA
  • NPI 1265663900
  NPD

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1245946623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 W 190TH ST STE 2200",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484344",
            "telephone_number": "310-856-0800",
            "fax_number": "855-568-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 W 190TH ST STE 2200",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484344",
            "telephone_number": "310-856-0800",
            "fax_number": "855-568-2494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 Beverly Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900571013",
            "country_code": "US",
            "telephone_number": "323-644-9380",
            "fax_number": "323-644-9381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GACHUZ",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Restoration Medical Center, Inc, (Gardena Open MRI)
• Daniel J Furoy, M.D.
• Gail Gabourel, MSPA-C
• Peter Gabraeil Sr.
• Andre Gabriel III
• Tiffany Monique Gaines
• Yaksi Janitsy Galan
• Jessica Galdamez
• Chantal Natalia Galeano
• Priscilla Gales, LCSW

• Behavior Technician in Gardena, CA
• Providers in Gardena, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.