MEDICARE: GABRIEL AREVALO JR.

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	343900000X	Non-emergency Medical Transport (VAN)	Y1916816	CA

General Provider Information

NPI Number	:	1982555389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIEL AREVALO JR.

Provider Business Mailing Address
First Line	:	4920 ELYSIUM ST OFC B
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93304-7008
Country	:	US
Telephone Number	:	661-619-6299
Fax Number	:

Provider Business Practice Location Address
First Line	:	4920 ELYSIUM ST OFC B
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93304-7008
Country	:	US
Telephone Number	:	661-619-6299
Fax Number	:

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

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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