Individual provider Active NPI

Gabriela Yadira Carlos, D.C.

  • Chiropractor
  • West Hollywood, CA
National Provider Identifier
1396831863
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30234 Issued in CA
Practice address
464 N Doheny Dr
West Hollywood, CA 90048-1726
Phone
(310) 271-9500
Fax
(310) 271-9505
NPI assigned
Oct 4, 2006
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30234 CA Primary

Addresses

Primary practice location

464 N Doheny Dr
West Hollywood, CA 90048-1726

Mailing address

464 N Doheny Dr
West Hollywood, CA 90048-1726
Phone (323) 951-9500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000633 CA Practitioner - Chiropractic 9830191923 Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC30234CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1396831863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 N DOHENY DR",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481726",
            "telephone_number": "323-951-9500",
            "fax_number": "323-951-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 N DOHENY DR",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481726",
            "telephone_number": "310-271-9500",
            "fax_number": "310-271-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "GABRIELA",
        "middle_name": "YADIRA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.