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
- 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
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 DirectoryLocations
359 San Miguel Dr
Ste 300
Newport Beach, CA 92660
Phone (949) 200-8222
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.