Individual provider Active NPI

Chelsea Amber Gabaly, PA-C

  • Medical Physician Assistant
  • Palm Desert, CA
National Provider Identifier
1346961380
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61580 Issued in CA
Practice address
73345 Highway 111 Ste 101
Palm Desert, CA 92260-3909
Phone
(760) 773-4948
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA61580 CA Primary

Addresses

Primary practice location

73345 Highway 111 Ste 101
Palm Desert, CA 92260-3909

Mailing address

73345 Highway 111 Ste 101
Palm Desert, CA 92260-3909
Phone (760) 773-4948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250104000026 PA Practitioner - Physician Assistant 0749650513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Temple University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

1331 E Wyoming Ave
Philadelphia, PA 19124-3808
Phone (215) 707-2098

3401 N Broad St
Philadelphia, PA 19140-5103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA61580CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan, Inc CurrentSince Nov 26, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Nov 26, 2024 Accepting new patients
Advanced Women'S Healthcare, a Medical Corporation CurrentSince Dec 15, 2023 Accepting new patients
Advanced Women'S Healthcare, a Medical Corporation Past Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients

Locations

79200 Corporate Center Dr
Ste 201
La Quinta, CA 92253
Phone (760) 222-5502

7355 Church St
Ste F
Yucca Valley, CA 92284

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1346961380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73345 HIGHWAY 111 STE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603909",
            "telephone_number": "760-773-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73345 HIGHWAY 111 STE 101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603909",
            "telephone_number": "760-773-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABALY",
        "first_name": "CHELSEA",
        "middle_name": "AMBER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA61580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.