Judy Harris Gabrielsen, N.P., P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15998 Issued in CA

Practice address

1610 S Court St
Visalia, CA 93277-4946

Phone

(559) 625-8898

Fax

(559) 625-8010

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Blue Line Medical Corp

  • Vascular Surgery Physician
  • Clovis, CA
  • NPI 1750015616
  NPD (past)
• Leo L Fong Corporation

  • Vascular Surgery Physician
  • Clovis, CA
  • NPI 1235609413
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1306056098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 CABERNET CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919048",
            "telephone_number": "559-999-6841",
            "fax_number": "559-739-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774946",
            "telephone_number": "559-625-8898",
            "fax_number": "559-625-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELSEN",
        "first_name": "JUDY",
        "middle_name": "HARRIS",
        "name_prefix": "Ms.",
        "credential": "N.P., P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "15998",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "12827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Life Alternative LLC
• Mia Brooke Fulleylove
• G & G Medical Transport Kern Inc
• G&a Medical Transportation Inc
• Fady Gaballa
• Michael Gaffney, PHARM.D.
• Arlene Gagnon
• Gah ABA Services Inc
• Jennifer Galbraith-Elliott
• Gale Kuns Ministries, Inc.

• Physician Assistant in Visalia, CA
• Providers in Visalia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.