Healthcare Provider Details

I. General information

NPI: 1881533594
Provider Name (Legal Business Name): GABRIELLA DRAGO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3918 FALLON RD
DUBLIN CA
94568-4276
US

IV. Provider business mailing address

PO BOX 619086
ROSEVILLE CA
95661-9086
US

V. Phone/Fax

Practice location:
  • Phone: 510-498-3900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number309660
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: