Individual provider Active NPI

Necetas Inez Tengco Gatmaitan-Fabella, M.D.

  • Internal Medicine Physician
  • Tulare, CA
National Provider Identifier
1780629667
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C52019 Issued in CA
Practice address
880 E Merritt Ave
Suite 102
Tulare, CA 93274-2244
Phone
(559) 687-8200
Fax
(559) 687-8282
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C52019 CA Primary

Addresses

Primary practice location

880 E Merritt Ave
Suite 102
Tulare, CA 93274-2244

Mailing address

880 E Merritt Ave
Suite 102
Tulare, CA 93274-2244
Phone (559) 687-8200

Other identifiers 1

IdentifierTypeStateIssuer
00C520190MedicaidCA

Other names 1

  • Dr. Inez G. Fabella Professional name

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sutton Medical Services, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1780629667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E MERRITT AVE",
            "address_2": "SUITE 102",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742244",
            "telephone_number": "559-687-8200",
            "fax_number": "559-687-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E MERRITT AVE",
            "address_2": "SUITE 102",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742244",
            "telephone_number": "559-687-8200",
            "fax_number": "559-687-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATMAITAN-FABELLA",
        "first_name": "NECETAS INEZ",
        "middle_name": "TENGCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C520190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INEZ",
            "last_name": "FABELLA",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tulare, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.