Individual provider Active NPI

Samuel David Gabrek, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1831548700
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0119200 Issued in VT
Practice address
9089 Clairemont Mesa Blvd Ste 200
San Diego, CA 92123-1225
Phone
(800) 787-6787
NPI assigned
Jun 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0119200 VT Primary

Addresses

Primary practice location

9089 Clairemont Mesa Blvd Ste 200
San Diego, CA 92123-1225

Mailing address

PO Box 222342
Carmel, CA 93922-2342
Phone (831) 884-5864

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181119000272 CA Practitioner - Physical Therapist in Private Practice 9739433327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

Practice addresses (Care Compare)

651 Sinex Ave
Pacific Grove, CA 93950-4253
Phone (732) 994-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0119200VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc. CurrentSince Aug 20, 2018 Accepting new patients
Terrapin Physical Therapy Inc PC Physical Therapist CurrentSince Nov 24, 2019 Accepting new patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

21 Upper Ragsdale Dr
Ste 125
Monterey, CA 93940
Phone (831) 372-2963

5 Harris Ct
Ste 102
Monterey, CA 93940
Phone (831) 372-3579

551 Gibson Ave
Pacific Grove, CA 93950
Phone (831) 242-8394

947 Blanco Cir
Ste A
Salinas, CA 93901
Phone (831) 422-5555

2 Rossi Cir
Salinas, CA 93907
Phone (831) 757-0444

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

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.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1831548700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222342",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939222342",
            "telephone_number": "831-884-5864",
            "fax_number": "831-920-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9089 CLAIREMONT MESA BLVD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231225",
            "telephone_number": "800-787-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABREK",
        "first_name": "SAMUEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0119200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.