Active NPI
Jan Gebalski, P.A.
- Physician Assistant
- Paradise, CA
National Provider Identifier
1447290648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11083
- Practice address
- 5974 Pentz Rd
Emergency Department
Paradise, CA 95969-5509 - Phone
- (530) 877-9361
- NPI assigned
- Jun 7, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11083 | CA | Primary |
Addresses
Primary practice location
5974 Pentz Rd
Emergency Department
Paradise, CA 95969-5509
Mailing address
4551 Glencoe Ave
Suite 260
Marina del Rey, CA 90292-6385
Phone (310) 301-2030
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11083 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1447290648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4551 GLENCOE AVE",
"address_2": "SUITE 260",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926385",
"telephone_number": "310-301-2030",
"fax_number": "310-306-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5974 PENTZ RD",
"address_2": "EMERGENCY DEPARTMENT",
"city": "PARADISE",
"state": "CA",
"postal_code": "959695509",
"telephone_number": "530-877-9361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBALSKI",
"first_name": "JAN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA11083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.