Organization Active NPI

S. Charabaty MD, Inc.

  • Rheumatology Physician
  • Gilroy, CA
National Provider Identifier
1669885083
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A104924 Issued in CA
Legal business name
S. CHARABATY MD, INC.
Practice address
7880 Wren Ave Ste C131
Gilroy, CA 95020-7801
Phone
(408) 848-2170
Fax
(408) 848-4244
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Samar M Charabaty, M.D.NPI 1467603365
Title
President
Phone
(408) 848-2170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X A104924 CA Primary

Addresses

Primary practice location

7880 Wren Ave Ste C131
Gilroy, CA 95020-7801

Mailing address

7880 Wren Ave Ste C131
Gilroy, CA 95020-7801
Phone (408) 848-2170

Other identifiers 1

IdentifierTypeStateIssuer
CA127676OtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140828002071 CA Part B Supplier - Clinic/Group Practice 5698993921 Receives reassigned benefits from 1 practitioner
Practice locations: Gilroy, CA

National Provider Directory

National Provider Directory

Locations

700 W 6th St
Ste P
Gilroy, CA 95020
Phone (408) 848-2170

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1669885083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE STE C131",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207801",
            "telephone_number": "408-848-2170",
            "fax_number": "408-848-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE STE C131",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207801",
            "telephone_number": "408-848-2170",
            "fax_number": "408-848-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. CHARABATY MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "CHARABATY",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-848-2170",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A104924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CA127676",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.