Individual provider Active NPI

Flor J. Caballar Gonzaga, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Gallup, NM
National Provider Identifier
1336127653
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
97-23 Issued in NM
Practice address
1901 Red Rock Dr
Gallup, NM 87301-5683
Phone
(505) 863-7031
Fax
(505) 863-4505
NPI assigned
Jan 6, 2006
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 97-23 NM
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 97-23 NM Primary
Clinical Neurophysiology Physician 2084N0600X 97-23 NM
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 97-23 NM

Addresses

Primary practice location

1901 Red Rock Dr
Gallup, NM 87301-5683

Mailing address

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7301

Other identifiers 8

IdentifierTypeStateIssuer
NM013076OtherNMBC/BS
10002253OtherNMLOVELACE HEALTH/SALUD
370010516OtherRAILROAD MEDICARE
Q2996MedicaidNM
201014109OtherPRESBYTERIAN HEALTH/SALUD
386161OtherAZAHCCCS
85031326887301A136OtherCHAMPUS
PROVP12052OtherNMMOLINA

Other names 1

  • Dr. Flor J Arasa Caballar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20050511000453 NM Practitioner - NeurologyPractitioner - Pediatric MedicinePractitioner - Sleep Medicine 6305886185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pediatric Medicine, Sleep Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince May 30, 1997 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Current Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. CurrentSince May 30, 1997 Accepting new patients

Locations

1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

211 E Aztec Ave
Gallup, NM 87301
Phone (505) 288-3090

2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

Organizations & group practices 3

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 2

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1336127653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 RED ROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015683",
            "telephone_number": "505-863-7301",
            "fax_number": "505-863-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RED ROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015683",
            "telephone_number": "505-863-7031",
            "fax_number": "505-863-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLAR GONZAGA",
        "first_name": "FLOR",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "97-23",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NM",
            "license": "97-23",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NM",
            "license": "97-23",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NM",
            "license": "97-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "NM013076",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE HEALTH/SALUD",
            "identifier": "10002253",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "370010516",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q2996",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH/SALUD",
            "identifier": "201014109",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "386161",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "85031326887301A136",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "PROVP12052",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLOR",
            "last_name": "CABALLAR",
            "middle_name": "J ARASA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gallup, NM

Sources for this page

Verify at the official NPI Registry.