Joanne Karla Ellorin Gabot-Heyman, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

57605 Issued in CA

Practice address

2144 S Bristol St
Santa Ana, CA 92704-5123

Phone

(714) 784-5779

NPI assigned

Jan 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1942447644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ELDERWOOD",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045123",
            "telephone_number": "714-784-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABOT-HEYMAN",
        "first_name": "JOANNE KARLA",
        "middle_name": "ELLORIN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Jan Funke, PHN
• Geoffrey David Furman, MD
• Amy Furuyama
• G Villegas DDS Dental Inc
• Lamia Gabal, MD
• Mark Gabriel, LVN
• Matilde Gabriela
• Gabriella TN Pham DDS Inc
• Mona Taha Mohammed Gad, DDS
• Jordan Gaeta

• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.