San Gabriel Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAN GABRIEL CLINIC

Practice address

3231 Waring CT Ste B
Oceanside, CA 92056-4510

Phone

(760) 666-7405

Fax

(760) 666-7562

NPI assigned

Aug 25, 2020

Last updated

Jun 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Evette Gabriel, PANPI 1093021693

Title

Manager

Phone

(760) 666-7405

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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evette Boshra Zikry Gabriel, PA

  • Physician Assistant
  • Fresno, CA
  • NPI 1093021693
  Medicare reassignment Care Compare group Authorized official
• San Anwar Fahmy Gabriel, MD

  • Internal Medicine Physician
  • Clovis, CA
  • NPI 1922025857
  Medicare reassignment Care Compare group NPD
• Andrew Gabriel, DO

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1669977740
  Medicare reassignment NPD
• Robert Alan Ring, O.D.

  • Optometrist
  • Oceanside, CA
  • NPI 1336228840
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1659984078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 E QUINCY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202107",
            "telephone_number": "559-917-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 WARING CT STE B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564510",
            "telephone_number": "760-666-7405",
            "fax_number": "760-666-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "EVETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-666-7405",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aarika Sanchez, AMFT
• Brianna Nicole Sanchez
• Christina Bianca Sanchez
• Diana Sanchez

• Family Medicine Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.