Tina Gabby, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

G058385 Issued in CA

Practice address

2 Fifer Ave
Suite 200
Corte Madera, CA 94925-1134

Phone

(415) 381-3255

Fax

(415) 381-3255

NPI assigned

Jan 14, 2011

Last updated

Jan 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1316242878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FIFER AVE",
            "address_2": "SUITE 200",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251134",
            "telephone_number": "415-381-3255",
            "fax_number": "415-381-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FIFER AVE",
            "address_2": "SUITE 200",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251134",
            "telephone_number": "415-381-3255",
            "fax_number": "415-381-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBY",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "G058385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Louise Fredenburg, M.S., CCC-SLP
• L. Bradley Freed, MFT
• Sharon R. Freeman, O.D.
• Page Freyermuth
• Max Benjamin Fried
• Phyllis Galanis, MFT
• Vicki Garfola, DC
• Cameron Thane Garrett, D.D.S.
• Kelli Michelle Gaskell, LCSW
• John Gee, D.D.S.

• Developmental - Behavioral Pediatrics Physician in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Developmental - Behavioral Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.