Active NPI
Mike Heshmat Gebrael
- Driver
- Apple Valley, CA
National Provider Identifier
1992052716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- TCP0028493P
- Practice address
- 22617 US Highway 18
Apple Valley, CA 92307-4342 - Phone
- (714) 457-9366
- NPI assigned
- Aug 10, 2012
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | TCP0028493P | CA | Primary |
Addresses
Primary practice location
22617 US Highway 18
Apple Valley, CA 92307-4342
Mailing address
13251 Stanford Dr
Victorville, CA 92392-7247
Phone (714) 457-9366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TCP0028493P | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1992052716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13251 STANFORD DR",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923927247",
"telephone_number": "714-457-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22617 US HIGHWAY 18",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923074342",
"telephone_number": "714-457-9366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBRAEL",
"first_name": "MIKE",
"middle_name": "HESHMAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "TCP0028493P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.