Individual provider Active NPI

Gabrielle Joy Torres, PA-C

  • Physician Assistant
  • MC Lean, VA
National Provider Identifier
1922854546
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010020 Issued in VA
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

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240516000355 DC Practitioner - Physician Assistant 9739520198 Reassigns benefits to 1 organization
I20240529000286 VA Practitioner - Physician Assistant 9739520198 Reassigns benefits to 1 organization

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
Skin and Laser Surgery CenterGroup PAC ID 4082788302, 8 clinicians

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

LicenseStateTypeSpecialty
0110010020VAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.