Individual provider Active NPI

Gabreal Shamtoub, D.D.S

  • Dentist
  • Tarzana, CA
National Provider Identifier
1831530039
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62844 Issued in CA
Practice address
5567 Reseda Blvd Ste 100
Tarzana, CA 91356-2648
Phone
(818) 646-2923
Fax
(818) 646-2924
NPI assigned
Jul 16, 2013
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62844 CA Primary

Addresses

Primary practice location

5567 Reseda Blvd Ste 100
Tarzana, CA 91356-2648

Mailing address

5567 Reseda Blvd Ste 100
Tarzana, CA 91356-2648
Phone (818) 646-2923

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gabreal Shamtoub DDS Inc Dentist CurrentSince Sep 8, 2019 Accepting new patients

Locations

5567 Reseda Blvd
Ste 100
Tarzana, CA 91356
Phone (818) 705-1274

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1831530039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562648",
            "telephone_number": "818-646-2923",
            "fax_number": "818-646-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562648",
            "telephone_number": "818-646-2923",
            "fax_number": "818-646-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMTOUB",
        "first_name": "GABREAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.