Active NPI
Gabrielle Joy Torres, PA-C
- Physician Assistant
- MC Lean, VA
National Provider Identifier
1922854546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110010020
- Practice address
- 1359 Beverly Rd
MC Lean, VA 22101-3666 - Phone
- (703) 893-1114
- NPI assigned
- Apr 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110010020 | VA | Primary |
Addresses
Primary practice location
1359 Beverly Rd
MC Lean, VA 22101-3666
Mailing address
8384 Gaither St
Manassas, VA 20110-3010
Phone (571) 501-6111
Other practice location 1
8384 Gaither St
Manassas, VA 20110-3010
Phone (571) 501-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1359 Beverly Rd
Suite 200
MC Lean, VA 22101-3668
Phone (703) 893-1114
2200 Opitz Blvd
Suite 100
Woodbridge, VA 22191-3342
Phone (703) 492-4140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110010020 | VA | MD | Physician Assistant |
Interoperability endpoints
- gtorres98@bderm.emadirect.md
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": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1922854546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8384 GAITHER ST",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201103010",
"telephone_number": "571-501-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1359 BEVERLY RD",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013666",
"telephone_number": "703-893-1114"
}
],
"practiceLocations": [
{
"address_1": "8384 Gaither St",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201103010",
"country_code": "US",
"telephone_number": "571-501-6111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORRES",
"first_name": "GABRIELLE",
"middle_name": "JOY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110010020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.