Individual provider Active NPI

Matteo Dante Gabbrielli, MA-SLP

  • Speech-Language Pathologist
  • Sacramento, CA
National Provider Identifier
1477249795
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
32021 Issued in CA
Practice address
2115 J St Ste 210
Sacramento, CA 95816-4734
Phone
(916) 444-0033
NPI assigned
Apr 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 32021 CA Primary

Addresses

Primary practice location

2115 J St Ste 210
Sacramento, CA 95816-4734

Mailing address

9355 E Stockton Blvd Ste 225
Elk Grove, CA 95624-9526
Phone (916) 422-0571

Other practice location 1

3525 Martin Luther King Jr Blvd
Sacramento, CA 95817-3654
Phone (916) 395-4570

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

LicenseStateTypeSpecialty
32021CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Point Quest Inc PastSince Apr 16, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1477249795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9355 E STOCKTON BLVD STE 225",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249526",
            "telephone_number": "916-422-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 J ST STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164734",
            "telephone_number": "916-444-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958173654",
            "country_code": "US",
            "telephone_number": "916-395-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABBRIELLI",
        "first_name": "MATTEO",
        "middle_name": "DANTE",
        "name_prefix": "Mr.",
        "credential": "MA-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "32021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.