Active NPI
Simon Gabriel, M.D.
- Diagnostic Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 55614
- Practice address
- 10833 Le Conte Ave
Los Angeles, CA 90095-3075 - Phone
- (310) 301-6800
- NPI assigned
- Jun 23, 2008
- Last updated
- Sep 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 55614 | MN | Primary |
Addresses
Primary practice location
10833 Le Conte Ave
Los Angeles, CA 90095-3075
Mailing address
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 301-6800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IA | |
| ENROLLED | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12602 Amargosa Rd
Suite F
Victorville, CA 92392-7640
Phone (760) 261-5000
1328 22ND St
Santa Monica, CA 90404-2032
Phone (310) 829-8814
2202 Wilshire Blvd
Santa Monica, CA 90403-5706
Phone (310) 264-9000
23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 253-8000
23929 McBean Pkwy
Suite 109
Valencia, CA 91355-4467
Phone (661) 253-8705
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Imaging Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Little Company of Mary Ancillary Services Corporation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Queen of the Valley Medical Association | Past | Accepting new patients | |
| UCLA Radiology Medical Group | Diagnostic Radiology | Past | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Locations
19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505
13355 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 355-0100
2143 S Sepulveda Blvd
Ste 300
Los Angeles, CA 90025
Phone (310) 575-3100
1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350
1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2202 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 264-9000
901 Wilshire Blvd
Fl 1
Santa Monica, CA 90401
Phone (310) 829-8441
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
20929 Hawthorne Blvd
Torrance, CA 90503
Phone (310) 303-7040
21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400
2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200
4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676
5215 Torrance Blvd
Ste 110
Torrance, CA 90503
Phone (310) 316-2424
23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000
12602 Amargosa Rd
Ste F
Victorville, CA 92392
Phone (760) 261-5000
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1023315074
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1013962067
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
dba PLCM Outpatient Imaging Torrance
- Radiology Clinic/Center
- Torrance, CA
- NPI 1265466189
-
- Urology Physician
- Apple Valley, CA
- NPI 1053616706
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
dba St Joseph Heritage Health System
- Gynecology Physician
- Napa, CA
- NPI 1649260126
-
dba Resnick Neuropsychiatric Hospital at UCLA
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1881670248
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
dba Henry Mayo Newhall Hospital
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1326209222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "SUITE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953075",
"telephone_number": "310-301-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "SIMON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "55614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Melissa Kirsten Gabriel, M.S.
- Nadra Gabriel
- Rodney Gabriel, M.D.
- Ronald S. Gabriel, M.D.
- Ryan Gabriel, DO
- Sonya Emi Gabrielian, M.D., M.P.H.
- Gabriella Charter Schools
- Gabrielle Carter, Pmhnp-BC, Psychiatric Nursing Practitioner, Professional Corporation (Healing With Gab)
- Holly Adele Gabrielson
- Troy Gabrielson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.