Gabriela Bermudez, MD
Individual provider Active NPI Family Medicine Physician · Calistoga, CA
NPI 1477553675 · NPPES record last updated Nov 15, 2019
Key facts
- NPI
- 1477553675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A94451 (CA)
- Practice address
- 911 Washington St
Calistoga, CA 94515 - Phone
- (707) 254-1770
- Fax
- (707) 251-1779
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070509000378 | CA | Practitioner - Family Practice | 1052202983 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94451 | CA | MD | Family Medicine Physician |
| 224568 | NY | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ole Health | Current |
Accepting new patients | |
| Ole Health | Current |
Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Ole Health | Past | Accepting new patients |
Locations
911 Washington St
Calistoga, CA 94515
Phone (707) 709-2308
1327 Berry St
Calistoga, CA 94515
Phone (707) 254-1775
1141 Pear Tree Ln
Ste 10
Napa, CA 94558
1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778
1100 Trancas St
Ste 300
Napa, CA 94558
Phone (707) 257-4084
1222 Pine St
Ste A
Saint Helena, CA 94574
Phone (707) 963-0931
Interoperability endpoints
- gbermudez675496@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 224568 | NY | |
| Family Medicine Physician | 207Q00000X | A94451 | CA | Yes |
Addresses
Primary practice location
911 Washington St
Calistoga, CA 94515
Mailing address
1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Other practice location 1
911 Washington St
Calistoga, CA 94515
Phone (707) 254-1770
Other providers in Calistoga, CA
- Adventist Health Physicians Network
- Andrew G Alexander
- Dulce Estrella Alvarado I
- Hector Ayala
- Elias Ignacio Banuelos
- Deborah Ann Black
- Calli Rose Brandyfoot
- Barbara Jean Brown
- Calistoga Junior Senior High School
- Michele Jane Craig-Morales
All providers in Calistoga, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.