Active NPI
Gabriela Meckler, MD
- Family Medicine Physician
- Santa Rosa, CA
National Provider Identifier
1821674524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A192274
- Practice address
- 3569 Round Barn Circle
Suite 200
Santa Rosa, CA 95403 - Phone
- (707) 583-8800
- NPI assigned
- Mar 23, 2021
- Last updated
- Aug 14, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A192274 | CA | Primary |
Addresses
Primary practice location
3569 Round Barn Circle
Suite 200
Santa Rosa, CA 95403
Mailing address
3569 Round Barn Circle
Suite 200
Santa Rosa, CA 95403
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240911002264 | CA | Order and Referring Only - Family Practice | 0840730354 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A192274 | CA | MD | Family Medicine Physician |
Interoperability endpoints
- gabriela.meckler@wchealth.eclinicaldirectplus.com
- gmeckler581746@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1821674524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3569 ROUND BARN CIRCLE",
"address_2": "SUITE 200",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3569 ROUND BARN CIRCLE",
"address_2": "SUITE 200",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95403",
"telephone_number": "707-583-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECKLER",
"first_name": "GABRIELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A192274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
- Margaret Jean McVey
- Adrienne Marjorie Mead
- Shelby L. Means
- Jared D Mearida, MPT
- Ari Mechles, LCSW
- Robert K Meckstroth, D.D.S
- Medical Consultants of America a Professional Corporation
- Medical Support Los Angeles a Medical Corporation
- Medina & Oliva Dental PC (Cascade Family Dental)
- Cesar Ulyces Medina, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.