GABRIEL PERDOMO MD
NPI 1851860142
Student in an Organized Health Care Education/Training Program in Upland, CA

Q: What is Gabriel Perdomo's NPI number?

The NPI number for Gabriel Perdomo is 1851860142. It was assigned to this individual provider in the NPPES registry on November 16, 2018.

Q: What is Gabriel Perdomo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gabriel Perdomo was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since November 16, 2018

999 SAN BERNARDINO RD, UPLAND, CA 91786(909) 985-2811(909) 579-6682 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2026, Jan 4, 2024, Nov 16, 2018 (3 updates tracked since 2018).

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About Gabriel Perdomo Md NPPES

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

GABRIEL PERDOMO MD (NPI 1851860142) is an individual student in an organized health care education/training program in Upland, California and active in the NPI registry since November 2018. He maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1851860142

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGABRIEL PERDOMOCredential: MD

Location Address999 SAN BERNARDINO RDUpland, CA 91786-4920

Mailing Address999 San Bernardino RdUpland, CA 91786-4920 · (909) 985-2811 · Fax (909) 579-6682

Phone(909) 985-2811

Fax(909) 579-6682

Sole ProprietorYes

Enumeration DateNovember 16, 2018

Last NPPES UpdateApril 30, 20263 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1851860142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9394253 (FL)

999 SAN BERNARDINO RD, Upland, CA 91786

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Secondary Practice Location 1

Location 12700 SW 97th AveMiami, FL 33165-2675 · Phone (305) 704-7646

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.

STEPHANIE J RASMUSSEN NP

Nurse Practitioner