Individual provider Active NPI

Sabreena Kaur Gadiok, FNP-BC

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1386449924
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024090854 Issued in CA
Practice address
2710 Gateway Oaks Dr
Sacramento, CA 95833-3505
Phone
(277) 064-6916
NPI assigned
Feb 18, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01250030 CA
Family Nurse Practitioner 363LF0000X 2024090854 CA Primary

Addresses

Primary practice location

2710 Gateway Oaks Dr
Sacramento, CA 95833-3505

Mailing address

2100 Brahms CT
Lathrop, CA 95330-7122
Phone (209) 561-0109

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260514001208 CA Practitioner - Nurse Practitioner 6002385531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abidali Professional Medical IncGroup PAC ID 4486177748, 6 clinicians

Practice addresses (Care Compare)

2001 McHenry Ave
Suite L
Modesto, CA 95350-3253
Phone (209) 846-3442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024090854CAMDFamily Nurse Practitioner
F01250030CAMDFamily Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1386449924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BRAHMS CT",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953307122",
            "telephone_number": "209-561-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 GATEWAY OAKS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333505",
            "telephone_number": "277-064-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADIOK",
        "first_name": "SABREENA",
        "middle_name": "KAUR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F01250030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2024090854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.