Healthcare Provider Details

I. General information

NPI: 1407767270
Provider Name (Legal Business Name): DARIO SAN GABRIEL RN, MSN, CPHQ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 FOUNTAIN DR
PALM SPRINGS CA
92262-0471
US

IV. Provider business mailing address

505 FOUNTAIN DR
PALM SPRINGS CA
92262-0471
US

V. Phone/Fax

Practice location:
  • Phone: 916-606-3378
  • Fax:
Mailing address:
  • Phone: 916-606-3378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number478439
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: