Active NPI
Gabriela Dicarlo
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1609596626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23961
- Practice address
- 3020 Children'S Way, MC 5068 San Diego, Ca 92123
San Diego, CA 92123 - Phone
- (858) 966-8100
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 23961 | CA | Primary |
Addresses
Primary practice location
3020 Children'S Way, MC 5068 San Diego, Ca 92123
San Diego, CA 92123
Mailing address
3020 Children'S Way, MC 5068 San Diego, Ca 92123
San Diego, CA 92123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23961 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rady Children'S Hospital San Diego | Past | Accepting new patients | |
| Rady Children'S Hospital San Diego | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Children's Rehabilitation Hospital
- San Diego, CA
- NPI 1174907216
-
- Children's Rehabilitation Hospital
- San Diego, CA
- NPI 1184008229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1609596626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDREN'S WAY, MC 5068 SAN DIEGO, CA 92123",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 CHILDREN'S WAY, MC 5068 SAN DIEGO, CA 92123",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "858-966-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICARLO",
"first_name": "GABRIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.