Active NPI
Gabrielle Keana Caporaso, MSN APRN
- Pediatric Nurse Practitioner
- Loma Linda, CA
National Provider Identifier
1821752072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95036866
- Practice address
- 11234 Anderson St
Loma Linda, CA 92350-1716 - Phone
- (760) 953-0670
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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.
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Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
File Number
Suite 54701
Los Angeles, CA 90074-0001
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: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260309001547 | CA | Practitioner - Nurse Practitioner | 0840773875 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95236691 | CA | MD | Registered Nurse |
| 95036866 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients |
Locations
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95036866 | CA | Primary |
| Registered Nurse | 163W00000X | 95236691 | CA |
Addresses
NPPES NPI RegistryPrimary practice location
11234 Anderson St
Loma Linda, CA 92350-1716
Mailing address
616 E Sunset Dr N
Redlands, CA 92373-6409
Phone (909) 558-8000
Other names 1
NPPES NPI Registry- Gabrielle Keana Foley
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2026.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788652800000",
"number": "1821752072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 E SUNSET DR N",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923736409",
"telephone_number": "909-558-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923501716",
"telephone_number": "760-953-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPORASO",
"first_name": "GABRIELLE",
"middle_name": "KEANA",
"credential": "MSN APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2026-09-06",
"certification_date": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95036866",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95236691",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIELLE",
"last_name": "FOLEY",
"middle_name": "KEANA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.