Mira Gaballa

Primary specialty

PharmacistTaxonomy code 183500000X

License

72973 Issued in CA

Practice address

12003 Walden Park PL
Bakersfield, CA 93311-9251

Phone

(818) 941-7776

NPI assigned

Nov 11, 2015

Last updated

Nov 11, 2015By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1629441753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12003 WALDEN PARK PL",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12003 WALDEN PARK PL",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119251",
            "telephone_number": "818-941-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABALLA",
        "first_name": "MIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "72973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G and a Nonmedical Transportation Corp
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• G&K Unity Care, Inc.
• G&N Home Care Inc. (Amada Senior Care Bakersfield)
• Thomas Gable, DO
• Jose Parayno Gabrillo
• Jessica Gacs, MFT
• Emad F Gad
• Kalyan Gaddam, N.D.

• Pharmacist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.