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SAN GABRIEL CLINIC
NPI 1659984078
Family Medicine in Oceanside, CA

Active since August 25, 2020CLIA 05D2203004 · Waiver
3231 WARING CT STE B, OCEANSIDE, CA 92056(760) 666-7405(760) 666-7562 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 15, 2021, Feb 19, 2021, Aug 25, 2020 (3 updates tracked since 2020).

About San Gabriel Clinic NPPES

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

SAN GABRIEL CLINIC (NPI 1659984078) is a healthcare organization registered as a family medicine in Oceanside, California and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Evette Gabriel, Manager, as its authorized official.

NPPES Registry Identity

NPI1659984078
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAN GABRIEL CLINIC
Location Address3231 WARING CT STE BOceanside, CA 92056-4510
Mailing Address864 E Quincy AveFresno, CA 93720-2107 · (559) 917-8615
Phone(760) 666-7405
Fax(760) 666-7562
Organization SubpartNo
Authorized OfficialEvette GabrielManager · (760) 666-7405
Enumeration DateAugust 25, 2020
Last NPPES UpdateJune 15, 20213 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
✔ NPI 1659984078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3231 WARING CT STE B, Oceanside, CA 92056
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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)

San Gabriel Clinic 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 Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

San Gabriel, MD
Internal Medicine
NPI 1922025857
1817 SHAW AVE STE 101
Clovis, CA 93611
(559) 940-6664
✔ PECOS✔ Accepts Medicare284 mi
Andrew Gabriel, DO
Internal Medicine
NPI 1669977740
15 E AUDUBON DR
Fresno, CA 93720
(559) 433-8000
✔ PECOS✔ Accepts Medicare290 mi

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 05D2203004

San Gabriel Clinic · Oceanside, CA
Active · expires Dec 1, 2026
CLIA Number05D2203004
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorSan Af Gabriel
Laboratory Phone(760) 666-7405
Laboratory LocationSan Gabriel Clinic3231 Waring Ct Ste B, Oceanside, CA 92056
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 San Gabriel Clinic's NPI number?

The NPI number for San Gabriel Clinic is 1659984078. It was assigned to this organization in the NPPES registry on August 25, 2020.

Where is San Gabriel Clinic located?

San Gabriel Clinic is located at 3231 Waring Ct Ste B, Oceanside, CA 92056. The listed phone number is (760) 666-7405.

What is San Gabriel Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is San Gabriel Clinic enrolled in Medicare?

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

How many clinicians bill Medicare through San Gabriel Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to San Gabriel Clinic. 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 San Gabriel Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2203004) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Gabriel Clinic was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.