DR. G. ZACHARIA REAGLE


Address: 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401-2551
Phone: 8055434407

DR. G. ZACHARIA REAGLE (NPI# 1447489893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447489893
Entity Type Individual
Full Name DR. G. ZACHARIA REAGLE
Other Name GABRIEL ZACHARIA REAGLE
Credential D.O.
Practice Address 1428 Phillips Ln Ste 203
San Luis Obispo
CA 93401-2551
Practice Telephone 8055434407
Practice Fax Number 8055434587
Mailing Telephone 8055434407
Mailing Fax Number 8055434587
Enumeration Date 2009-07-07
Last Update Date 2015-08-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 20A10912 CA Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
20A10912 CA Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
20A10912 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA LICENSE # 20A10912 01

Office Location

Street Address 1428 PHILLIPS LN STE 203
City SAN LUIS OBISPO
State CA
Zip Code 93401-2551

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134584014 Justin Schmidt Physician Assistant 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401 2015-12-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497228399 Barbara Jean Morrow Dental Hygienist 2191 Johnson Avenue, San Luis Obispo, CA 93401 2019-01-03
1104307743 Griffith Jennings Counselor 1225 Kendal Rd, San Luis Obispo, CA 93401 2018-08-22
1124518808 Joy L Delaluna Licensed Psychiatric Technician 692 Evens Rd, San Luis Obispo, CA 93401 2018-05-17
1982192084 Sierra Mental Wellness Group Community/Behavioral Health 2180 B Johnson Avenue, San Luis Obispo, CA 93401 2018-04-25
1326554403 Veronica Chanel Laguna Case Manager/Care Coordinator 1065 Kansas Ave., San Luis Obispo, CA 93401 2017-12-27
1043739782 Janette Lynn Branca Case Manager/Care Coordinator 285 South Street, Suit J, San Louis Obispo, CA 93401 2017-09-13
1588194104 Adv Vision LLC Optometrist 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 2017-06-15
1508395880 Samantha Clay Counselor 1255 Kendall Road, San Luis Obispo, CA 93401 2017-06-08
1659804771 Sara Anne Powers Counselor 697 Higuera Street D, San Luis Obispo, CA 93401 2017-04-05
1508306010 Russell Piazza Pharmacist 873 Ricardo Court, San Luis Obispo, CA 93401 2017-03-02
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114904919 Eric Jeffrey Schultz Internal Medicine 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2537 2005-12-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184221137 Newport Superior Medical & Infusion Inc Internal Medicine 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 2020-10-02
1205472339 Christian Gronbeck IIi Internal Medicine 37 E Mission Ave, San Rafael, CA 94901-4208 2019-11-25
1497304497 Ralph Zitnik Internal Medicine 606 E Valerio St, Santa Barbara, CA 93103-1954 2019-09-11
1578118295 Adventist Health Physicians Network Internal Medicine 1231 W Vine St Ste 19, Lodi, CA 95240-5109 2019-08-08
1063079176 Kasra Sedarati M.d. Inc. Internal Medicine 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 2019-05-23
1124586367 Coast Concierge Medicine Inc Internal Medicine 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 2019-03-06
1801373352 Antelope Valley Lung & Sleep Institute, Inc Internal Medicine 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 2018-07-26
1659864338 Orange County Respiratory Physicians Corp Internal Medicine 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 2018-06-07
1841780301 San Joaquin Critical Care Medical Group, Inc. Internal Medicine 1801 E March Ln Ste C300, Stockton, CA 95210-6657 2018-05-10
1912408691 Northern California Medical Assoc Internal Medicine 2315 Dean St, Eureka, CA 95501-3208 2018-02-27
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Competitor

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City SAN LUIS OBISPO
Zip Code 93401

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Dataset Information

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.

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