NPIMap

Organization Active NPI

Chelani Productions, LLC

Doing business as Gabbert Medical

  • Rural Health Clinic/Center
  • Payson, AZ
National Provider Identifier
1417768110
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHELANI PRODUCTIONS, LLC
Doing business as
Gabbert Medical
Practice address
120 E Main St Ste B
Payson, AZ 85541-5618
Phone
(928) 472-2225
Fax
(928) 468-0002
NPI assigned
Jan 14, 2025
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHELANI PRODUCTIONS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Dr. Brian Gabbert, DCNPI 1164636791
Title
Chiropractor
Phone
(928) 472-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

120 E Main St Ste B
Payson, AZ 85541-5618

Mailing address

120 E Main St Ste B
Payson, AZ 85541-5618
Phone (928) 472-2225

Other names 1

  • Gabbert Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250409002291 AZ Part B Supplier - Clinic/Group Practice 0547784746 Receives reassigned benefits from 5 practitioners
Practice locations: Payson, AZ
O20250411003191 AZ Part A Provider - Rural Health Clinic 0547784746 Practice locations: Payson, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417768110. Details of each certification follow.

Rural health clinic certification: CCN 038900

Legal name
CHELANI PRODUCTIONS, LLC
Organization structure
LLCProprietary
Enrollment address
120 E Main St
Ste B
Payson, AZ 85541-5618

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2319783Gabbert Medical120 E Main St Ste B, Payson, AZ 85541Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory
Part of
Chelani Productions LLC

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Linda Chelani Individual 5% Or Greater Direct Ownership InterestMember/Owner Dec 1, 2015 99%
W-2 Managing EmployeeMember/Owner Dec 1, 2015 99%
Lauren Washatka Individual W-2 Managing EmployeeMD; Feb 17, 2025
Brian M Gabbert Individual W-2 Managing EmployeeMember & Physician Apr 1, 2025 1%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1417768110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E MAIN ST STE B",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415618",
            "telephone_number": "928-472-2225",
            "fax_number": "928-468-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E MAIN ST STE B",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415618",
            "telephone_number": "928-472-2225",
            "fax_number": "928-468-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELANI PRODUCTIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHELANI PRODUCTIONS, LLC",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "GABBERT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "928-472-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gabbert Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Payson, AZ

Sources for this page

Verify at the official NPI Registry.