Individual provider Active NPI

Mary Jude Gabrielson, CFNP

  • Pediatric Nurse Practitioner
  • San Ramon, CA
National Provider Identifier
1356331573
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NPF7083 Issued in CA
Practice address
200 Porter Drive
Suite 300
San Ramon, CA 94583-1524
Phone
(925) 838-6500
Fax
(925) 838-6542
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NPF7083 CA Primary

Addresses

Primary practice location

200 Porter Drive
Suite 300
San Ramon, CA 94583-1524

Mailing address

200 Porter Drive
Suite 300
San Ramon, CA 94583-1524
Phone (925) 838-6511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPF7083CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince Oct 22, 2016 Accepting new patients
Brighter Beginnings CurrentSince Oct 9, 2022 Accepting new patients
Brighter Beginnings CurrentSince Oct 9, 2022 Accepting new patients

Locations

3505 Lone Tree Way
Ste 1
Antioch, CA 94509
Phone (925) 303-4780

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

2727 Macdonald Ave
Richmond, CA 94804
Phone (510) 213-6681

200 Porter Dr
Ste 300
San Ramon, CA 94583
Phone (925) 838-6500

1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356331573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PORTER DRIVE",
            "address_2": "SUITE 300",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831524",
            "telephone_number": "925-838-6511",
            "fax_number": "925-838-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PORTER DRIVE",
            "address_2": "SUITE 300",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831524",
            "telephone_number": "925-838-6500",
            "fax_number": "925-838-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELSON",
        "first_name": "MARY",
        "middle_name": "JUDE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NPF7083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.