Organization Active NPI

Brian K Gamble, M.D. Inc.

  • Family Medicine Physician
  • Reseda, CA
National Provider Identifier
1861695314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A76121 Issued in CA
Legal business name
BRIAN K GAMBLE, M.D. INC.
Practice address
18701 Sherman Way
Ste 2
Reseda, CA 91335-4045
Phone
(818) 786-5360
Fax
(818) 786-5370
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Keith Gamble, M.D.
Title
C.E.O.
Phone
(818) 786-5360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A76121 CA Primary

Addresses

Primary practice location

18701 Sherman Way
Ste 2
Reseda, CA 91335-4045

Mailing address

18701 Sherman Way
Ste 2
Reseda, CA 91355-4049
Phone (818) 786-5360

National Provider Directory

National Provider Directory
Tax ID family
Brian K Gamble MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861695314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 SHERMAN WAY",
            "address_2": "STE 2",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913554049",
            "telephone_number": "818-786-5360",
            "fax_number": "818-786-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 SHERMAN WAY",
            "address_2": "STE 2",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354045",
            "telephone_number": "818-786-5360",
            "fax_number": "818-786-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K GAMBLE, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "818-786-5360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.