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GABRIEL MEDICAL CENTER INC
NPI 1598129652
Internal Medicine in Los Angeles, CA

Active since April 05, 2016CLIA 05D1044716 · Waiver
4146 E OLYMPIC BLVD, UNIT B, LOS ANGELES, CA 90023(323) 262-9948(562) 943-7518 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gabriel Medical Center Inc NPPES

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

GABRIEL MEDICAL CENTER INC (NPI 1598129652) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Shura A Moreno, Director, as its authorized official.

NPPES Registry Identity

NPI1598129652
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGABRIEL MEDICAL CENTER INC
Location Address4146 E OLYMPIC BLVD, UNIT BLos Angeles, CA 90023-3347
Mailing Address4146 E Olympic Blvd, Unit BLos Angeles, CA 90023-3347 · (323) 262-9948 · Fax (323) 262-3708
Phone(323) 262-9948
Fax(562) 943-7518
Organization SubpartNo
Authorized OfficialShura A MorenoDirector · (323) 262-9948
Enumeration DateApril 5, 2016
Last NPPES UpdateOctober 16, 2018
✔ NPI 1598129652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A78052
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4146 E OLYMPIC BLVD, Los Angeles, CA 90023
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabriel Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gabriel Medical Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shura Moreno, MD
Internal Medicine
NPI 1174542716
4146 E OLYMPIC BLVD SUITE B
Los Angeles, CA 90023
(323) 262-9943
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1044716

Gabriel Medical Center, Inc · Los Angeles, CA
Active · expires Aug 24, 2027
CLIA Number05D1044716
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorShura A. Moreno MD
Laboratory Phone(323) 262-9948
Laboratory LocationGabriel Medical Center, Inc4146 E Olympic Blvd Unit B, Los Angeles, CA 90023
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Center Inc's NPI number?

The NPI number for Gabriel Medical Center Inc is 1598129652. It was assigned to this organization in the NPPES registry on April 5, 2016.

Where is Gabriel Medical Center Inc located?

Gabriel Medical Center Inc is located at 4146 E Olympic Blvd Unit B, Los Angeles, CA 90023. The listed phone number is (323) 262-9948.

What is Gabriel Medical Center Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gabriel Medical Center Inc enrolled in Medicare?

Yes. Gabriel Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gabriel Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Gabriel Medical Center Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gabriel Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1044716) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gabriel Medical Center Inc was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.