Active NPI
Ephraim Molla Gabriel, M.D., MPH
- Occupational Medicine Physician
- Van Nuys, CA
National Provider Identifier
1841448917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- A114323
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME108383 | Other | FL | FLORIDA PHYSICIAN LICENSE |
| 63777 | Other | GA | GEORGIA PHYSICIAN LICENSE |
| A114323 | Other | CA | CALIFORNIA 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
| License | State | Type | Specialty |
|---|---|---|---|
| A114323 | CA | MD | Public Health & General Preventive Medicine Physician |
| 63777 | GA | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
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.