Active NPI
Gabriel Ohlssen
- Technician/Technologist
- San Jose, CA
National Provider Identifier
1417740804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- RBT24342989
- Practice address
- 1150 King RD40
#152
San Jose, CA 95122 - Phone
- (408) 622-9222
- NPI assigned
- May 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | RBT24342989 | CA | Primary |
Addresses
Primary practice location
1150 King RD40
#152
San Jose, CA 95122
Mailing address
1150 King RD40
#152
San Jose, CA 95122
Phone (408) 622-9222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184296154 | Other | CA | ANGEL BEHAVIORAL PATH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT24342989 | CA | MD | Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1417740804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 KING RD40",
"address_2": "#152",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95122",
"telephone_number": "408-622-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 KING RD40",
"address_2": "#152",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95122",
"telephone_number": "408-622-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHLSSEN",
"first_name": "GABRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "CA",
"license": "RBT24342989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANGEL BEHAVIORAL PATH",
"identifier": "1184296154",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.