ALICIA GAMBOA (NPI# 1083669576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083669576 |
| Entity Type | Individual |
| Full Name | ALICIA GAMBOA |
| Practice Address |
12223 Highland Ave Rancho Cucamonga CA 91739-2574 |
| Practice Telephone | 4049327220 |
| Mailing Telephone | 4049327220 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003715 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 845 Falling Water Ln, Norcross, GA 300935701 | 4049327220 |
| Street Address |
12223 HIGHLAND AVE |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91739-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407372550 | Sandy N Ibrahim | Dentist | 12223 Highland Ave, Rancho Cucamonga, CA 91739-2574 | 2017-08-21 |
| 1033427315 | Dr.bhagat Uppal & Shah's Morningside Dental Group | Dentist | 12223 Highland Ave, 108, Rancho Cucamonga, CA 91739-2574 | 2010-09-20 |
| 1669618062 | Christine Son | Dentist | 12223 Highland Ave, Ste 104, Rancho Cucamonga, CA 91739-2574 | 2009-01-06 |
| 1437343399 | Neka Afi Dunlap | Anesthesiology | 12223 Highland Ave, Ste 106 Unit 331, Rancho Cucamonga, CA 91739-2574 | 2007-09-04 |
| 1740498328 | Shadi Ali Qasqas | Internal Medicine | 12223 Highland Ave, Ste 106-551, Rancho Cucamonga, CA 91739-2574 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699230300 | Gogo Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 13269 Firestone Dr, Rancho Cucamonga, CA 91739 | 2019-02-06 |
| 1306348768 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 7210 Day Creek Blvd, Suite 110, Rancho Cucamonga, CA 91739 | 2018-03-01 |
| 1770082141 | Rajnis Jasani | Pharmacist | 7777-b Milliken Ave, Ste 100, Rancho Cucamonga, CA 91739 | 2018-02-12 |
| 1548787542 | Carla Hibet Castillo | Counselor | 7165 Etiwanda Ave, Rancho Cucamonga, CA 91739 | 2017-08-29 |
| 1598282428 | Yung Chun Chen | Dentist | 12453 Royal Oaks Dr., Montclair, CA 91739 | 2017-08-22 |
| 1508386806 | Emily Rose Marlen | Counselor | 845 E. Arrow Highway, Pomona, CA 91739 | 2017-06-27 |
| 1124384540 | Ameerah Rasheedah-bonner Mcmann | Marriage & Family Therapist | 8481 Etiwanda Avenue, Apartment G, Rancho Cucamonga, CA 91739 | 2012-04-10 |
| 1679866784 | Bodylogics Health Services Inc. | Rehabilitation Practitioner | 12730 Foothill Blvd., Unit 102, Rancho Cucamonga, CA 91739 | 2011-05-23 |
| 1801196027 | Lisa Louise Hazelwood | Psychologist | 9500 Etiwanda Ave., West Valley Detention Center, Attn: Medical Srvcs/liberty Roc, Rancho Cucamonga, CA 91739 | 2010-10-22 |
| 1700023520 | Gideon Puiyuen Kwok | Legal Medicine | 12225 Foothill Blvd #120, Rancho Cucamonga, CA 91739 | 2009-01-15 |
| Find all providers in zip 91739 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818747 | Wtfootcare, Professional Physician Assistant Corporation | Physician Assistant | 8972 Appaloosa Ct, Rancho Cucamonga, CA 91737-1401 | 2020-07-08 |
| 1659993624 | Brandon Edward Mccullough | Physician Assistant | 6137 Walnut Grove Ct, Rancho Cucamonga, CA 91739-2267 | 2020-05-13 |
| 1114582681 | Jessica Lizet Gomez | Physician Assistant | 8008 Monet Ave Ste 107, Rancho Cucamonga, CA 91739-7509 | 2019-05-09 |
| 1497286082 | Lauren Michelle Bolda | Physician Assistant | 11660 Church St Apt 363, Rancho Cucamonga, CA 91730-8938 | 2017-03-24 |
| 1932537016 | Ashley Michelle Williams | Physician Assistant | 5135 Branding Iron Pl, Rancho Cucamonga, CA 91739-2273 | 2013-10-28 |
| 1346437977 | Judeth Christine Mckindley | Physician Assistant | 10808 Foothill Blvd Ste 160, Rancho Cucamonga, CA 91730-0601 | 2007-09-27 |
| 1043400419 | Antonia Lynn Rogers | Physician Assistant | 7777 Milliken Ave Ste 110, Rancho Cucamonga, CA 91730-6781 | 2007-07-31 |
| 1669675419 | Amber Marie Chin | Physician Assistant | 12739 N Overlook Dr, Rancho Cucamonga, CA 91739-2320 | 2007-06-08 |
| 1407904329 | Rosslyn S Byous | Physician Assistant | 9405 Fairway View Pl, Rancho Cucamonga, CA 91730-0932 | 2007-01-08 |
| 1851340681 | Raymond Lopez | Physician Assistant | 8686 Haven Ave, Suite 200, Rancho Cucamonga, CA 91730-9110 | 2006-05-09 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91739 |
Please comment or provide details below to improve the information on ALICIA GAMBOA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.