Gabriel Perdomo, MD is a
Student In An Organized Health Care Education/training Program based in Upland, California. Gabriel Perdomo is licensed to practice in California (license number ) and his current practice location is
999 San Bernardino Rd, Upland, California. He can be reached at his office (for appointments etc.) via phone at
(909) 985-2811.
NPI number for Gabriel Perdomo is 1851860142 and his current mailing address is 999 San Bernardino Rd, Upland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851860142.
Provider's Profile
| Full Name | Gabriel Perdomo |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 999 San Bernardino Rd, Upland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851860142
- Provider Enumeration Date: 11/16/2018
- Last Update Date: 04/30/2026
Medical Identifiers
Medical identifiers for Gabriel Perdomo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851860142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 9394253 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gabriel Perdomo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gabriel Perdomo, MD
999 San Bernardino Rd,
Upland, CA 91786-4920
Ph: (909) 985-2811 | Gabriel Perdomo, MD
999 San Bernardino Rd,
Upland, CA 91786-4920
Ph: (909) 985-2811 |
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