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GABRIEL BOELLING BURDICK
NPI 1174225734
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 20, 2023PECOS Enrolled
2051 MARENGO ST, LOS ANGELES, CA 90033(805) 680-3815 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gabriel Boelling Burdick NPPES

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

GABRIEL BOELLING BURDICK (NPI 1174225734) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174225734
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGABRIEL BOELLING BURDICK
Location Address2051 MARENGO STLos Angeles, CA 90033-1352
Mailing Address1447 Twinridge RdSanta Barbara, CA 93111-1222 · (805) 680-3185
Phone(805) 680-3815
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1174225734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2051 MARENGO ST, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 20

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

DR. ISHAQUE ALI SYED M.D.
Internal Medicine
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-3147
DR. SONYA FABRICANT MD
Obstetrics & Gynecology
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8848
CANDICE MARIE PALMISANO CNS
Clinical Nurse Specialist
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8559
HAYLEY DAWN MORGAN
Respiratory Therapist, Registered
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7928
COUNTY OF LOS ANGELES
Psychiatric Unit
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-2800
SIDNEY STEPHEN SORRELL MD
Student in an Organized Health Care Education/Training Program
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-1900
MR. PAUL ANDREW SCHMIDT
Respiratory Therapist, Registered (Neonatal/Pediatrics)
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-3281
ALDONIA ANTOINETTE WYLIE SENIOR RCP
Respiratory Therapist, Registered
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (562) 385-7687

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 Burdick's NPI number?

The NPI number for Gabriel Burdick is 1174225734. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Gabriel Burdick located?

Gabriel Burdick practices at 2051 Marengo St, Los Angeles, CA 90033. The listed phone number is (805) 680-3815.

What is Gabriel Burdick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gabriel Burdick enrolled in Medicare?

Yes. Gabriel Burdick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gabriel Burdick was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.