MR. GABRIEL GORDON SMITH (NPI# 1376716084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376716084 |
| Entity Type | Individual |
| Full Name | MR. GABRIEL GORDON SMITH |
| Credential | PA-C |
| Practice Address |
750 Redwood Hwy Ste 1204 Ste 1204 Mill Valley CA 94941-2483 |
| Mailing Address |
3400 Data Dr Attn Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 4153844778 |
| Practice Fax Number | 4153844779 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
58405 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5325 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036525 | Gabriel Ernest Smith | Physician Assistant | 4541 Falcon Ave, Long Beach, CA 90807-1814 | 2020-02-22 |
| 1366797144 | Gabriel Smith | Student in an Organized Health Care Education/Training Program | 4225 Chrysler Dr, Apt C, Detroit, MI 48201-0008 | 2012-07-18 |
| 1306121512 | Gabriel Reed Smith | Physician Assistant | 1834 Ne Hancock St, Apartment 4, Portland, OR 97212-4590 | 2011-10-19 |
| 1154640803 | Gabriel Smith | Pharmacist | 375 Philadelphia St, Indiana, PA 15701-2068 | 2010-05-20 |
| 1164633350 | Gabriel Ae Smith | Physical Therapist | 4813 Alben Barkley Dr, Paducah, KY 42001-6774 | 2007-05-27 |
| 1609403401 | Gabriel Tobin Smith | Social Worker | 2000 Old West Chester Pike, Havertown, PA 19083-2712 | 2020-03-24 |
| 1396206470 | Gabriel Smith | Nurse Practitioner | 1279 Old Abbott Mountain Rd, Prestonsburg, KY 41653-1889 | 2019-03-29 |
| 1023585429 | Gabriel Lee Smith | Chiropractor | 1307 W 13th St, Vinton, IA 52349-1400 | 2018-10-24 |
| 1790277341 | Gabriel N Smith | Speech-Language Pathologist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2018-05-30 |
| 1952713778 | Gabriel Smith | Counselor | 145 Scaleybark Rd Ste B, Charlotte, NC 28209-2682 | 2014-05-28 |
| Street Address |
750 REDWOOD HWY STE 1204 STE 1204 |
| City | MILL VALLEY |
| State | CA |
| Zip Code | 94941-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707464 | Onward Cares, Inc. | Private Vehicle | 201 Morning Sun Ave, Mill Valley, CA 94941 | 2020-07-09 |
| 1255973848 | Cara Nicole Christie | Dietitian, Registered | 35 Miller Avenue Suite #273, Mill Valley, CA 94941 | 2019-10-15 |
| 1538698774 | Shari Lyn Coskey | Psychologist | 311 Miller Ave Ste A-1, Mill Valley, CA 94941 | 2017-06-10 |
| 1225572662 | Katelynn Allen | Physical Therapist | 421 Miller Ave, Mill Valley, CA 94941 | 2016-12-05 |
| 1134591340 | Sheree Lyn Reed | Pharmacist | 800 Redwood Hwy, Frontage Rd #10, Mill Valley, CA 94941 | 2015-10-27 |
| 1235527904 | Sheila Francis Lynch | Social Worker | 33 Millwood Street, Suite #3, Mill Valley, CA 94941 | 2015-01-05 |
| 1790197580 | Linden Farrar Berry | Marriage & Family Therapist | 275 Miller Avenue, Mill Valley, CA 94941 | 2014-05-28 |
| 1073930343 | Eman Elmi | Podiatrist | 7 North Knoll Road Suite 3, Mill Valley, CA 94941 | 2014-03-25 |
| 1053657726 | Susan Pauly-o'neill | Nurse Practitioner | 750 Redwood Hwy Frontage Rd, Mill Valley, CA 94941 | 2012-12-27 |
| 1598049652 | John Deri | Psychiatry & Neurology | 10 Millwood Street, Suite #4, Mill Valley, CA 94941 | 2011-10-06 |
| Find all providers in zip 94941 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720610322 | Alexis Lillian Sherer | Physician Assistant | 655 Redwood Hwy Frontage Rd Ste 246, Mill Valley, CA 94941-3055 | 2020-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | MILL VALLEY |
| Zip Code | 94941 |
Please comment or provide details below to improve the information on MR. GABRIEL GORDON SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.