Active NPI
Gabriel Vangompel, DPM
- Podiatrist
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E5067
- Practice address
- 39350 Civic Center Dr. #300
Fremont, CA 94538-2331 - Phone
- (510) 797-3933
- Fax
- (510) 797-5184
- NPI assigned
- Jun 11, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E5067 | CA | Primary |
| Foot Surgery Podiatrist | 213ES0131X | E5067 | CA |
Addresses
Primary practice location
39350 Civic Center Dr. #300
Fremont, CA 94538-2331
Mailing address
39350 Civic Center Dr. #300
Fremont, CA 94538-2331
Phone (510) 797-3933
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
39350 Civic Ctr Dr
Suite 300
Fremont, CA 94538-2331
Phone (510) 797-3933
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.02 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 87.97
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 28 |
| Removal or shaving of skin growth | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5067 | CA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Peak Orthopaedic Medical Group, Inc | Podiatrist | Current | Accepting new patients |
| Washington Township Hospital District | Past | Accepting new patients | |
| Hayward Sisters Hospital | Past | Accepting new patients |
Locations
39350 Civic Center Dr
Ste 300
Fremont, CA 94538
Phone (510) 797-3933
27206 Calaroga Ave
Ste 207
Hayward, CA 94545
Phone (510) 649-1573
27206 Calaroga Ave
Ste 107
Hayward, CA 94545
Phone (510) 300-9898
5924 Stoneridge Dr
Ste 200
Pleasanton, CA 94588
Phone (925) 846-6200
Interoperability endpoints
- gvangompel138555@hpmg.direct-ci.net
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Fremont, CA
- NPI 1609888593
Podiatrist
-
dba St. Rose Hospital
- General Acute Care Hospital
- Hayward, CA
- NPI 1942298153
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1154472058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1497017040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39350 CIVIC CENTER DR. #300",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382331",
"telephone_number": "510-797-3933",
"fax_number": "570-797-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39350 CIVIC CENTER DR. #300",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382331",
"telephone_number": "510-797-3933",
"fax_number": "510-797-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGOMPEL",
"first_name": "GABRIEL",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E5067",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E5067",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.