Active NPI
Samuel Nabil Gabriel, D.M.D
- Dentist
- Lynwood, CA
National Provider Identifier
1952717381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63345
- Practice address
- 9910 Long Beach Blvd
Lynwood, CA 90262-1561 - Phone
- (323) 563-8900
- NPI assigned
- Jul 7, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 63345 | CA | Primary |
Addresses
Primary practice location
9910 Long Beach Blvd
Lynwood, CA 90262-1561
Mailing address
2269 23Rd St
Santa Monica, CA 90405-1725
Phone (310) 508-8385
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190710000245 | CA | Practitioner - Oral Surgery | 5799010047 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel Gabriel DMD, Inc | Dentist | Current | Accepting new patients |
| N Ozder Dental Practice Inc | Past | Accepting new patients | |
| West Coast Dental | Past | Accepting new patients |
Locations
18506 Hawthorne Blvd
Torrance, CA 90504
Phone (310) 483-7779
Organizations & group practices 3
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.
-
dba Cali Smiles Family Dentistry
- General Practice Dentistry
- Torrance, CA
- NPI 1215586466
-
- Dental Assistant
- Clovis, CA
- NPI 1801186556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1952717381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2269 23RD ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904051725",
"telephone_number": "310-508-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9910 LONG BEACH BLVD",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902621561",
"telephone_number": "323-563-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "SAMUEL",
"middle_name": "NABIL",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-07",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.