Individual provider Active NPI

G. Zacharia Reagle, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Santa Maria, CA
National Provider Identifier
1447489893
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
20A10912 Issued in CA
Practice address
1400 E Church St
Santa Maria, CA 93454-5906
Phone
(805) 739-3000
Fax
(970) 667-0847
NPI assigned
Jul 7, 2009
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10912 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 20A10912 CA Primary
Pulmonary Disease Physician 207RP1001X 20A10912 CA

Addresses

Primary practice location

1400 E Church St
Santa Maria, CA 93454-5906

Mailing address

PO Box 7446
Loveland, CO 80537-0446
Phone (970) 663-2742

Other identifiers 1

IdentifierTypeStateIssuer
20A10912OtherCALICENSE #

Other names 1

  • Gabriel Zacharia Reagle Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131226000518 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 3870720618 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Coast Critical CareGroup PAC ID 6800294703, 5 clinicians

Practice addresses (Care Compare)

1400 E Church St
Santa Maria, CA 93454-5906
Phone (559) 260-2600

420 34TH St
Bakersfield, CA 93301-2237
Phone (661) 327-4647

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10912CAMDInternal Medicine Physician
10912CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Pacific Coast Critical Care Critical Care Medicine CurrentSince Sep 30, 2021 Accepting new patients
Central Valley Critical Care Medicine - a Professional Corporat Critical Care Medicine CurrentSince Dec 23, 2025 Accepting new patients
Av Intensivist Group Inc Critical Care Medicine CurrentSince Nov 18, 2023 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

5211 W Goshen Ave
Visalia, CA 93291
Phone (559) 372-0568

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1447489893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7446",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370446",
            "telephone_number": "970-663-2742",
            "fax_number": "970-667-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545906",
            "telephone_number": "805-739-3000",
            "fax_number": "970-667-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGLE",
        "first_name": "G. ZACHARIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10912",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "20A10912",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "20A10912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "20A10912",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIEL",
            "last_name": "REAGLE",
            "middle_name": "ZACHARIA",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.