Organization Active NPI

Gabreal Shamtoub DDS Inc

  • Dentist
  • Tarzana, CA
National Provider Identifier
1528535572
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GABREAL SHAMTOUB DDS INC
Doing business as
GABREAL SHAMTOUB DDS INC
Practice address
5567 Reseda Blvd Ste 100
Tarzana, CA 91356-2648
Phone
(818) 646-2923
Fax
(818) 646-2924
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Dr. Gabreal Shamtoub, DDSNPI 1831530039
Title
President
Phone
(323) 886-2414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5567 Reseda Blvd Ste 100
Tarzana, CA 91356-2648

Mailing address

5567 Reseda Blvd Ste 100
Tarzana, CA 91356-2648
Phone (818) 646-2923

Other names 1

  • GABREAL SHAMTOUB DDS INC Doing business as

National Provider Directory

National Provider Directory

Locations

5567 Reseda Blvd
Ste 100
Tarzana, CA 91356
Phone (818) 705-1274

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1528535572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562648",
            "telephone_number": "818-646-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562648",
            "telephone_number": "818-646-2923",
            "fax_number": "818-646-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABREAL SHAMTOUB DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "SHAMTOUB",
        "authorized_official_first_name": "GABREAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-886-2414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GABREAL SHAMTOUB DDS INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GABREAL SHAMTOUB DDS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.