Active NPI
Rowen Gabat Siababa Jr
- Student in an Organized Health Care Education/Training Program
- San Diego, CA
National Provider Identifier
1699693556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 9055 Balboa Ave
San Diego, CA 92123-1509 - Phone
- (619) 849-7974
- NPI assigned
- Jul 8, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
9055 Balboa Ave
San Diego, CA 92123-1509
Mailing address
1190 Via Escalante
Chula Vista, CA 91910-8141
Phone (619) 301-8807
Other practice location 1
3900 Lomaland Dr
San Diego, CA 92106-2899
Phone (619) 849-2200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1699693556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 VIA ESCALANTE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919108141",
"telephone_number": "619-301-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9055 BALBOA AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231509",
"telephone_number": "619-849-7974"
}
],
"practiceLocations": [
{
"address_1": "3900 Lomaland Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921062899",
"country_code": "US",
"telephone_number": "619-849-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIABABA JR",
"first_name": "ROWEN",
"middle_name": "GABAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"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 Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.