MR. JOSE L GAMBOA JR.


Address: 9700 Mashburn Blvd, Oklahoma City, OK 73162-5509
Phone: 4057212466

MR. JOSE L GAMBOA JR. (NPI# 1114549920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114549920
Entity Type Individual
Full Name MR. JOSE L GAMBOA JR.
Credential PTA
Practice Address 9700 Mashburn Blvd
Oklahoma City
OK 73162-5509
Mailing Address 9017 N University Ave Apt 14209
Oklahoma City
OK 73114-4312
Practice Telephone 4057212466
Mailing Telephone 9183201205
Enumeration Date 2020-05-14
Last Update Date 2020-05-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251G0304X Physical Therapist
Specialization: Geriatrics
2694 OK Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK DRIVERS LICENSE G082973974 01

Other Providers JOSE GAMBOA

NPI Name Taxonomy Address Enumeration
1326325176 Jose Antonio Gamboa Technician, Other 702 N Mccoll Rd, Mcallen, TX 78501-9337 2011-11-08
1275615718 Jose Gamboa Psychiatry & Neurology 1020 S Anaheim Blvd Ste 214, Anaheim, CA 92805-5808 2006-10-20

Office Location

Street Address 9700 MASHBURN BLVD
City OKLAHOMA CITY
State OK
Zip Code 73162-5509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447253240 Baptist Village Retirement Communities of Oklahoma Inc Skilled Nursing Facility 9700 Mashburn Blvd, Oklahoma City, OK 73162-5509 2005-05-24
1659916336 Colleen Barnett Dietitian, Registered 9700 Mashburn Blvd, Oklahoma City, OK 73162-5509 2019-11-17
1528475837 Alison Boyd Nurse Practitioner 9700 Mashburn Blvd, Oklahoma City, OK 73162-5509 2014-07-18
1053369090 Baptist Village Retirement Communities of Ok, Inc Home Health 9700 Mashburn Blvd, Oklahoma City, OK 73162-5509 2006-05-04
1710945613 Baptist Village Retirement Communities of Oklahoma, Inc. Home Health 9700 Mashburn Blvd, Oklahoma City, OK 73162-5509 2006-05-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114493319 Anthony Haislip Peer Specialist 6904 Briar Creek Dr., Oklahoma City, OK 73162 2018-10-16
1760973705 Lars Pederson Peer Specialist 7308 Nw 114th St, Oklahoma City, OK 73162 2018-05-25
1770026841 Cory Chambers Dentist 12321 N. Council Rd, Oklahoma City, OK 73162 2016-11-22
1487109062 K. Williams Case Manager/Care Coordinator 10400 North Council Road, Oklahoma City, OK 73162 2016-08-24
1932537669 Al Dowell Case Manager/Care Coordinator 8849 Nw 121st St., Oklahoma City, OK 73162 2013-10-15
1508106378 Wilvia Wong-plum Counselor 7309 N.w. 107th St., Oklahoma City, OK 73162 2013-02-15
1386912301 Delores Parker Counselor 11916 Silvermoon Drive, Oklahoma City, OK 73162 2011-12-05
1518241744 Victor Njoh Pharmacist 7101 West Hefner Rd, Oklahoma City, OK 73162 2011-10-06
1841500113 Kimmi Jo Stanley Speech-Language Pathologist 9400 St. Ann's Home, Oklahoma City, OK 73162 2010-10-20
1548493091 Glen Knight Wallace Counselor 7932 Nicholson, Okalhoma City, OK 73162 2009-09-01
Find all providers in zip 73162

Taxonomy Information

Taxonomy Code 2251G0304X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Geriatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306118518 Melanie Susan Thomas Physical Therapist 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 2012-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760996177 Laurel Michelle Glendening Physical Therapist 3531 River Wood Lane, Edmond, OK 73034 2017-11-21
1588039937 Judy Maupin Physical Therapist 801 Nw 145th Cir, Edmond, OK 73013-1876 2015-12-10
1326455486 Home Mods By Therapists, LLC Physical Therapist 3424 Mount Washington Rd, Ardmore, OK 73401-9311 2014-07-21
1568883155 Hannah Hargis Physical Therapist 5115 E 51st St, Tulsa, OK 74135-7430 2013-12-26
1033466305 Judy Howard Physical Therapist 429 Gold Fields Trl, Edmond, OK 73003-2078 2012-08-06
1003394636 Karen Rae Smith Physical Therapist 6800 S Granite Ave, Tulsa, OK 74136-7039 2018-08-06
1336532639 Kendra Stanaland Physical Therapist 1165 Brenner Rd, Sapulpa, OK 74066-6141 2015-03-11
1023441227 Therapy Solutions of Oklahoma Inc. Physical Therapist 8303 E 81st St, Suite E, Tulsa, OK 74133-8093 2013-08-12
1164786711 Tram Bich Cao Physical Therapist 2111 Riverwalk Dr, Moore, OK 73160-2700 2012-06-28

Competitor

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City OKLAHOMA CITY
Zip Code 73162

Improve Information

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Dataset Information

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.

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