Individual provider Active NPI

Gabriel Rama Mayland, MD

  • Family Medicine Physician
  • Klamath Falls, OR
National Provider Identifier
1669586467
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD26937 Issued in OR
Practice address
2821 Daggett Ave Ste 100
Klamath Falls, OR 97601-1106
Phone
(541) 274-6733
Fax
(541) 274-2006
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A90871 CA
Family Medicine Physician 207Q00000X MD26937 OR Primary

Addresses

Primary practice location

2821 Daggett Ave Ste 100
Klamath Falls, OR 97601-1106

Mailing address

2074 South Sixth St
Klamath Falls, OR 97601
Phone (925) 930-6346

Other practice location 1

4940 Hamrick Rd
Central Point, OR 97502-3072
Phone (541) 690-3600

Other practice location 2

3617 S Pacific Hwy
Medford, OR 97501-8957
Phone (541) 535-6239

Other practice location 3

2074 South Sixth St
Klamath Health Partnership Inc
Klamath Falls, OR 97601
Phone (541) 851-8110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmayland1240686@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060405000304 CA Practitioner - Family PracticePractitioner - Emergency Medicine 6406864263 Reassigns benefits to 2 organizations
I20070102000116 OR Practitioner - Family Practice 6406864263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chavez Emergency Physicians Medical Group IncGroup PAC ID 3870897580, 8 clinicians
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

1065 Bucks Lake Rd
Quincy, CA 95971-9507
Phone (530) 283-7110

280 Maple St
Ashland, OR 97520-1552
Phone (541) 201-4000

2821 Daggett Ave
Suite 100
Klamath Falls, OR 97601-1106
Phone (541) 274-6733

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-6221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90871CAMDFamily Medicine Physician
MD26937ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Apr 1, 2020 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Nov 1, 2013 Accepting new patients
North State Hospitalist Medical Group, Inc CurrentSince Aug 1, 2023 Accepting new patients
Asante Physician Partners Family Medicine CurrentSince Apr 5, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Nov 1, 2013 Accepting new patients
Chavez Emergency Physicians Medical Group, Inc. CurrentSince Jun 1, 2018 Accepting new patients

Locations

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2074 S 6th St
Klamath Falls, OR 97601
Phone (541) 851-8110

2821 Daggett Ave
Ste 100
Klamath Falls, OR 97601
Phone (541) 274-4611

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1669586467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 SOUTH SIXTH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "925-930-6346",
            "fax_number": "541-851-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 DAGGETT AVE STE 100",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-274-6733",
            "fax_number": "541-274-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Hamrick Rd",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975023072",
            "country_code": "US",
            "telephone_number": "541-690-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3617 S Pacific Hwy",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975018957",
            "country_code": "US",
            "telephone_number": "541-535-6239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2074 South Sixth St",
            "address_2": "Klamath Health Partnership Inc",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "97601",
            "country_code": "US",
            "telephone_number": "541-851-8110",
            "fax_number": "541-851-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYLAND",
        "first_name": "GABRIEL",
        "middle_name": "RAMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A90871",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD26937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmayland1240686@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1111 Crater Lake Ave",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975046241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.