Individual provider Active NPI

Robert J Gabbay, D.O.

  • Family Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1821028283
Registry record updated Dec 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6451 Issued in CA
Practice address
3775 Brickway Blvd.
Suite 110
Santa Rosa, CA 95403-8272
Phone
(707) 535-6271
Fax
(707) 526-5633
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6451 CA Primary

Addresses

Primary practice location

3775 Brickway Blvd.
Suite 110
Santa Rosa, CA 95403-8272

Mailing address

3775 Brickway Blvd.
Suite 110
Santa Rosa, CA 95403-8272
Phone (707) 535-6271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000651 CA Practitioner - Family Practice 1850327685 Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3775 Brickway Blvd
Suite 110
Santa Rosa, CA 95403-9050
Phone (707) 535-6271

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6451CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Airport Medical Clinic PastSince Jan 1, 1990 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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356134400000",
    "number": "1821028283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 BRICKWAY BLVD.",
            "address_2": "SUITE 110",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038272",
            "telephone_number": "707-535-6271",
            "fax_number": "707-526-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 BRICKWAY BLVD.",
            "address_2": "SUITE 110",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038272",
            "telephone_number": "707-535-6271",
            "fax_number": "707-526-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBAY",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.