Individual provider Active NPI

Rebecca Gamliel, PA

  • Physician Assistant
  • Calabasas, CA
National Provider Identifier
1538739685
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA59676 Issued in CA
Practice address
23501 Park Sorrento Ste 216
Calabasas, CA 91302-1383
Phone
(818) 222-7495
NPI assigned
Jun 30, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA59676 CA Primary

Addresses

Primary practice location

23501 Park Sorrento Ste 216
Calabasas, CA 91302-1383

Mailing address

23501 Park Sorrento Ste 216
Calabasas, CA 91302-1383
Phone (818) 222-7495

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210714003110 CA Practitioner - Physician Assistant 3577965441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hal M Weitzbuch MD Medical CorporationGroup PAC ID 3375795123, 4 clinicians

Practice addresses (Care Compare)

23501 Park Sorrento
Suite 216
Calabasas, CA 91302-1383
Phone (818) 222-7495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA59676CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. de Stefano, M.D., Inc. Current Accepting new patients

Locations

23501 Park Sorrento
Ste 216
Calabasas, CA 91302
Phone (818) 222-7495

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1538739685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23501 PARK SORRENTO STE 216",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021383",
            "telephone_number": "818-222-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23501 PARK SORRENTO STE 216",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021383",
            "telephone_number": "818-222-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMLIEL",
        "first_name": "REBECCA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.