Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAN GABRIEL CLINICA
NPI 1154094936
Nurse Practitioner - Psychiatric/Mental Health in Lubbock, TX

Active since July 28, 2021
5811 64TH ST STE 25, LUBBOCK, TX 79424(877) 654-9139(877) 654-8335 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2021, Jul 28, 2021 (2 updates tracked since 2021).

About San Gabriel Clinica NPPES

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

SAN GABRIEL CLINICA (NPI 1154094936), doing business as Gabriel Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Lubbock, Texas and active in the NPI registry since July 2021. The organization lists Gabriel Chika Eleda, Owner / C.e.o., as its authorized official.

NPPES Registry Identity

NPI1154094936
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSAN GABRIEL CLINICA
Location Address5811 64TH ST STE 25Lubbock, TX 79424-2724
Mailing AddressPo Box 182Wolfforth, TX 79382-0182 · (877) 654-9139 · Fax (877) 654-8335
Fax(877) 654-8335
Organization SubpartNo
Authorized OfficialGabriel Chika EledaOwner / C.e.o. · (877) 654-9139
Enumeration DateJuly 28, 2021
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1154094936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
5811 64TH ST STE 25, Lubbock, TX 79424

Other Names 2

Doing Business AsGabriel Psychiatry
Doing Business AsSan Gabriel Psychiatry

Other Identifiers 1

Medicaid511843201TX

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Gabriel Clinica is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to San Gabriel Clinica, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1730571480
5811 64TH ST STE 25
Lubbock, TX 79424
(877) 654-9139
✔ PECOSSame address
Nurse Practitioner
NPI 1346610854
5811 64TH ST STE 25
Lubbock, TX 79424
(877) 654-9139
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 San Gabriel Clinica's NPI number?

The NPI number for San Gabriel Clinica is 1154094936. It was assigned to this organization in the NPPES registry on July 28, 2021. The provider is doing business as Gabriel Psychiatry and San Gabriel Psychiatry.

Where is San Gabriel Clinica located?

San Gabriel Clinica is located at 5811 64th St Ste 25, Lubbock, TX 79424. The listed phone number is (877) 654-9139.

What is San Gabriel Clinica's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is San Gabriel Clinica enrolled in Medicare?

Yes. San Gabriel Clinica is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Gabriel Clinica?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to San Gabriel Clinica. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Gabriel Clinica was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.