Individual provider Active NPI

Gabriel Wardi, MD

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1720346083
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A124468 Issued in CA
Practice address
200 W Arbor Dr # 8819
San Diego, CA 92103-1911
Phone
(619) 543-6213
Fax
(619) 543-7598
NPI assigned
Apr 24, 2012
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A124468 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A124468 CA
Emergency Medicine Physician 207P00000X A124468 CA Primary

Addresses

Primary practice location

200 W Arbor Dr # 8819
San Diego, CA 92103-1911

Mailing address

200 W Arbor Dr # 8819
San Diego, CA 92103-1911
Phone (619) 543-6213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GU2 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
I20150711000187 CA Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7214249754 Reassigns benefits to 4 organizations
I20161230000546 GU Practitioner - Emergency Medicine 7214249754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Critical Care (Intensivists), Internal Medicine
Education
Emory University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 3577476761, shared by 18 NPIs, 2,047 clinicians

Practice addresses (Care Compare)

200 W Arbor Dr
San Diego, CA 92103-3109
Phone (858) 657-7000

200 W Arbor Dr
San Diego, CA 92103-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A124468CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Unviersity of California Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Dec 8, 2016 Accepting new patients
Regents of the University of California - Ucsd Medical Group CurrentSince Jun 1, 2017 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Pulmonary Disease CurrentSince Jun 1, 2017 Accepting new patients
Regents of the University of California CurrentSince Jun 1, 2017 Accepting new patients
Regents of the University of California Emergency Medicine CurrentSince Jul 27, 2020 Accepting new patients
Regents of the University of California Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients

Locations

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

File 57326
Los Angeles, CA 90074

35900 Bob Hope Dr
Ste 257
Rancho Mirage, CA 92270
Phone (760) 321-2500

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

200 W Arbor Dr
#8819
San Diego, CA 92103
Phone (619) 543-6213

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1720346083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR # 8819",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031911",
            "telephone_number": "619-543-6213",
            "fax_number": "619-543-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR # 8819",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031911",
            "telephone_number": "619-543-6213",
            "fax_number": "619-543-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDI",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A124468",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A124468",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A124468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.