MEDICARE: MR. VIJAY M GABBITA SR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	125J00000X	Dental Therapist	4NGJ402	CA

General Provider Information

NPI Number	:	1649625740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VIJAY M GABBITA SR.

Provider Business Mailing Address
First Line	:	10513 ZENOR LN UNIT 34
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-6810
Country	:	US
Telephone Number	:	858-395-7555
Fax Number	:

Provider Business Practice Location Address
First Line	:	10513 ZENOR LN UNIT 34
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-6810
Country	:	US
Telephone Number	:	858-395-7555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2016
Last Update Date	:	04/27/2016

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1124473210 — VI
Practice Location Address:

10513 ZENOR LN UNIT 34
SAN DIEGO, CA
92127-6810

Practice Phone: 858-395-7555
Practice Fax: 858-395-7000

1881030310 — BRANDON CHRISTOPHER JACKSON IDC
Practice Location Address:

6810 CAMPHOR LN
SAN DIEGO, CA
92139

Practice Phone: 619-846-3392
Practice Fax:

1811554181 — MR. JOSEPH R TICHONCHUK RN
Practice Location Address:

4007 HOPE ST
SAN DIEGO, CA
92115-6810

Practice Phone: 619-761-3874
Practice Fax:

1417161191 — DR. ENID MARIE MALDONADO PHARM.D.
Practice Location Address:

HOSPITAL SAN LUCAS
PONCE, PR
00733-6810

Practice Phone: 787-843-1600
Practice Fax: 787-651-0572

1386855641 — EXCLUSIVE ADULT DAY CARE INC
Practice Location Address:

6810 BANDERA RD , STE 01
SAN ANTONIO, TX
78238-1468

Practice Phone: 210-522-0911
Practice Fax: 210-523-0911

Directions to “ MR. VIJAY M GABBITA SR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.