Individual provider Active NPI

Simon Gabriel, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1326209222
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
55614 Issued in MN
Practice address
10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone
(310) 301-6800
NPI assigned
Jun 23, 2008
Last updated
Sep 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ENROLLEDMedicaidIA
ENROLLEDMedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130827000647 CA Practitioner - Diagnostic Radiology 7113174582 Reassigns benefits to 3 organizations

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
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians
Tower Imaging Medical Group IncGroup PAC ID 2668376708, 29 clinicians

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

OrganizationSpecialtyStatusNew patients
Tower Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Oct 13, 2014 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Sep 22, 2014 Accepting new patients
Providence Medical Foundation CurrentSince May 1, 2024 Accepting new patients
Little Company of Mary Ancillary Services Corporation CurrentSince Mar 6, 2025 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince May 1, 2024 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.