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DR. GABRIEL T GIZAW M.D, MPH
NPI 1023245016
General Practice in San Diego, CA

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
601 MCCAIN BLVD, NMRTU NORTH ISLAND, SAN DIEGO, CA 92135(619) 545-4263 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2024, Jul 22, 2022 (2 updates tracked since 2022).

About Dr. Gabriel T Gizaw M.d, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GABRIEL T GIZAW M.D, MPH (NPI 1023245016) is an individual general practice provider in San Diego, California, licensed in California (C202693) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1023245016
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GABRIEL T GIZAWCredential: M.D, MPH
Location Address601 MCCAIN BLVD, NMRTU NORTH ISLANDSan Diego, CA 92135-7046
Mailing AddressPo Box 357046San Diego, CA 92135-7046 · (619) 545-4263
Phone(619) 545-4263
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 17, 2009
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1023245016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · C202693
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 55676-020 (WI)
601 MCCAIN BLVD, San Diego, CA 92135
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gabriel T Gizaw M.d, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628215514
PECOS Enrollment IDI20250807003929
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANCH MEDICAL CLINIC CORONADO
Clinic/Center (Military/U.S. Coast Guard Outpatient)
601 MCCAIN BLVD, NAVAL BASE CORONADO
SAN DIEGO, CA 92135
San Diego County (619) 545-7245
KRISTIN BALA MD
Military Health Care Provider
601 MCCAIN BLVD
SAN DIEGO, CA 92135
San Diego County (619) 545-4359
DR. JACOB MICKEY WYSE
Internal Medicine
601 MCCAIN BLVD
SAN DIEGO, CA 92135
San Diego County (619) 545-6128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabriel Gizaw's NPI number?

The NPI number for Gabriel Gizaw is 1023245016. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Gabriel Gizaw located?

Gabriel Gizaw practices at 601 Mccain Blvd Nmrtu North Island, San Diego, CA 92135. The listed phone number is (619) 545-4263.

What is Gabriel Gizaw's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gabriel Gizaw enrolled in Medicare?

Yes. Gabriel Gizaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gabriel Gizaw was last updated on June 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.