Individual
GABRIEL RODARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
488 E VALLEY PKWY STE 311, ESCONDIDO, CA 92025-3374
(760) 520-8340
(760) 839-9459
Mailing address
488 E VALLEY PKWY STE 311, ESCONDIDO, CA 92025-3374
(760) 520-8300
(760) 737-2024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A87906
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
A87906
CA
2084P0800X
Psychiatry Physician
Primary
A87906
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14158
MEDICARE CLINIC PTAN
CA
01
—
ZZZ20041Z
MEDICARE CLINIC PTAN
CA
Enumeration date
07/12/2006
Last updated
03/15/2026
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