Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gabriel Stephan Niles, MD

Individual provider Family Medicine Physician · NPI 1285611699

Dr. Gabriel Stephan Niles, MD is a Family Practice in Los Angeles, California. Qualified in 2005, 21 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Washington.

Years since qualifying
21
Licensed in
CA, WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12555 W Jefferson Blvd Ste 301
Los Angeles, CA 90066-7032
Phone: (424) 443-5555
Fax: (424) 443-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A100831 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD6030955 (WA)

Record details

NPI number1285611699
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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