Active NPI
Rodney a Gabriel M.D. Inc
- Sports Medicine (Orthopaedic Surgery) Physician
- Los Angeles, CA
National Provider Identifier
1942322060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- G56204
- Legal business name
- RODNEY A GABRIEL M.D. INC
- Practice address
- 444 S. San Vicente Blvd.
Los Angeles, CA 90048 - Phone
- (310) 423-9788
- Fax
- (310) 423-9958
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald A Gabriel
- Title
- General
- Phone
- (310) 423-9788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | G56204 | CA | Primary |
Addresses
Primary practice location
444 S. San Vicente Blvd.
Los Angeles, CA 90048
Mailing address
444 S. San Vicente Blvd.
Los Angeles, CA 90048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G562040 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942322060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 S. SAN VICENTE BLVD.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 S. SAN VICENTE BLVD.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90048",
"telephone_number": "310-423-9788",
"fax_number": "310-423-9958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RODNEY A GABRIEL M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GABRIEL",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "GENERAL",
"authorized_official_telephone_number": "310-423-9788"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "G56204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G562040",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, 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.