Organization Active NPI

Zenovia H Gabriel, a Medical Corporation

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1255735593
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on Oct 15, 2014

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.