Gabriel Medical Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A78052 Issued in CA

Legal business name

GABRIEL MEDICAL CENTER INC

Practice address

4146 E Olympic Blvd
Unit B
Los Angeles, CA 90023-3347

Phone

(323) 262-9948

Fax

(562) 943-7518

NPI assigned

Apr 5, 2016

Organization subpart

No

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

Authorized official

Name

Shura A Moreno, MDNPI 1174542716

Title

Director

Phone

(323) 262-9948

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Shura A Moreno, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1174542716
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1598129652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 E OLYMPIC BLVD",
            "address_2": "UNIT B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233347",
            "telephone_number": "323-262-9948",
            "fax_number": "323-262-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 E OLYMPIC BLVD",
            "address_2": "UNIT B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233347",
            "telephone_number": "323-262-9948",
            "fax_number": "562-943-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "SHURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-262-9948",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A78052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Gabrellas, M.D.
• Gabriel E Hunt Jr MD Inc a California Professional Medical Co
• Gabriel G. Carabello, MD Inc
• Gabriel J Halperin D P M Inc
• Gabriel J. Halperin D.P.M., Inc.
• Gabriel Rubanenko Inc a Medical Corporation
• Gabriel Rubanenko, Inc., a Medical Corporation
• Irene Gabriel-Thomas, DC
• Cesar Gabriel-Vazquez
• Abigail Gabriel

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.