Organization Active NPI

Gabriel G. Carabello, MD Inc

  • Vascular Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1275626541
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G52810 Issued in CA
Legal business name
GABRIEL G. CARABELLO, MD INC
Practice address
1700 E. Cesar Chavez Avenue
Ste. 2450
Los Angeles, CA 90033-2434
Phone
(213) 483-4559
Fax
(213) 413-0819
NPI assigned
Oct 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Gabriel G. Carabello, MD
Title
President
Phone
(213) 483-4559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X G52810 CA Primary

Addresses

Primary practice location

1700 E. Cesar Chavez Avenue
Ste. 2450
Los Angeles, CA 90033-2434

Mailing address

1700 E. Cesar Chavez Avenue
Ste. 2450
Los Angeles, CA 90033-2434
Phone (213) 483-4559

Other identifiers 1

IdentifierTypeStateIssuer
00G697260MedicaidCA

National Provider Directory

National Provider Directory

Locations

1700 E Cesar E Chavez Ave
Ste 2450
Los Angeles, CA 90033
Phone (213) 483-4559

4036 Whittier Blvd
Ste 201
Los Angeles, CA 90023
Phone (310) 698-5463

201 S Alvarado St
Ste 410
Los Angeles, CA 90057
Phone (213) 413-0819

201 S Alvarado St
Los Angeles, CA 90057
Phone (213) 413-5935

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1275626541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E. CESAR CHAVEZ AVENUE",
            "address_2": "STE. 2450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332434",
            "telephone_number": "213-483-4559",
            "fax_number": "213-413-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E. CESAR CHAVEZ AVENUE",
            "address_2": "STE. 2450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332434",
            "telephone_number": "213-483-4559",
            "fax_number": "213-413-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL G. CARABELLO, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "CARABELLO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-483-4559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G52810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G697260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.