Individual provider Active NPI

Irene Gabriel-Thomas, DC

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1992026298
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31213 Issued in CA
Practice address
1724 W Silver Lake Dr
Los Angeles, CA 90026-1232
Phone
(323) 665-1281
Fax
(323) 665-2739
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31213 CA Primary

Addresses

Primary practice location

1724 W Silver Lake Dr
Los Angeles, CA 90026-1232

Mailing address

1724 W Silver Lake Dr
Los Angeles, CA 90026-1232
Phone (323) 665-1281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130430000200 CA Practitioner - Chiropractic 6709023294 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1724 W Silver Lake Dr
Los Angeles, CA 90026-1232
Phone (323) 665-1281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31213CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Cheryl Revkin DC, Inc. Chiropractor Past Accepting new patients

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1992026298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 W SILVER LAKE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261232",
            "telephone_number": "323-665-1281",
            "fax_number": "323-665-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 W SILVER LAKE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261232",
            "telephone_number": "323-665-1281",
            "fax_number": "323-665-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL-THOMAS",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31213",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.