Active NPI
Zenovia H Gabriel, a Medical Corporation
- Dermatology Physician
- Newport Beach, CA
National Provider Identifier
1255735593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ZENOVIA H GABRIEL, A MEDICAL CORPORATION
- Practice address
- 359 San Miguel Dr
Suite 300
Newport Beach, CA 92660-7812 - Phone
- (949) 200-8222
- Fax
- (949) 612-1662
- NPI assigned
- Oct 15, 2014
- Last updated
- Oct 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zenovia H Gabriel, MD
- Title
- President
- Phone
- (949) 200-8222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
359 San Miguel Dr
Suite 300
Newport Beach, CA 92660-7812
Mailing address
1402 Emerald Bay
Laguna Beach, CA 92651-1277
Phone (949) 200-8222
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1679769954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413331200000",
"number": "1255735593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 EMERALD BAY",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511277",
"telephone_number": "949-200-8222",
"fax_number": "949-612-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 SAN MIGUEL DR",
"address_2": "SUITE 300",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607812",
"telephone_number": "949-200-8222",
"fax_number": "949-612-1662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZENOVIA H GABRIEL, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-15",
"last_updated": "2014-10-15",
"status": "A",
"authorized_official_last_name": "GABRIEL",
"authorized_official_first_name": "ZENOVIA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-200-8222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.