Individual provider Active NPI

Ephraim Molla Gabriel, M.D., MPH

  • Occupational Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1841448917
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
A114323 Issued in CA
Practice address
16300 Roscoe Blvd Ste A1
Van Nuys, CA 91406-1246
Phone
(818) 893-4426
Fax
(818) 894-7564
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X A114323 CA
Occupational Medicine Physician 2083X0100X ME108383 FL
Occupational Medicine Physician 2083X0100X 63777 GA
Occupational Medicine Physician 2083X0100X A114323 CA Primary

Addresses

Primary practice location

16300 Roscoe Blvd Ste A1
Van Nuys, CA 91406-1246

Mailing address

18862 Dukas St
Porter Ranch, CA 91326-2133
Phone (651) 233-0233

Other identifiers 3

IdentifierTypeStateIssuer
ME108383OtherFLFLORIDA PHYSICIAN LICENSE
63777OtherGAGEORGIA PHYSICIAN LICENSE
A114323OtherCACALIFORNIA PHYSICIAN LICENSE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A114323CAMDPublic Health & General Preventive Medicine Physician
63777GAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past 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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1841448917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18862 DUKAS ST",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262133",
            "telephone_number": "651-233-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 ROSCOE BLVD STE A1",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061246",
            "telephone_number": "818-893-4426",
            "fax_number": "818-894-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "EPHRAIM",
        "middle_name": "MOLLA",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A114323",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "ME108383",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "GA",
            "license": "63777",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A114323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PHYSICIAN LICENSE",
            "identifier": "ME108383",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA PHYSICIAN LICENSE",
            "identifier": "63777",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHYSICIAN LICENSE",
            "identifier": "A114323",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.