Gabriel Alberto Obeso

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

12648 Poway Rd
Poway, CA 92064-4416

Phone

(858) 375-9680

NPI assigned

Oct 26, 2026

Last updated

Oct 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD (past)
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603
  NPD (past)

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1578461174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 MAYA LINDA RD APT B312",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921265229",
            "telephone_number": "442-283-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12648 POWAY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644416",
            "telephone_number": "858-375-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBESO",
        "first_name": "GABRIEL",
        "middle_name": "ALBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Nussbaum, M.D.
• Nutriwise Health LLC
• Jacob O'Brien
• Ciara O'Quigley
• Rinka Oba
• Obstetrics & Gynecology Li Fan MD Inc
• Elsie Ochoa
• Destiny Okoronkwo
• Alexis Oliver
• Kimberly Olmedo

• Physical Therapy Assistant in Poway, CA
• Providers in Poway, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.