DR. LUCIE N. GAMBOA (NPI# 1487768271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487768271 |
| Entity Type | Individual |
| Full Name | DR. LUCIE N. GAMBOA |
| Credential | M.D. |
| Practice Address |
160 Green Valley Rd Freedom CA 95019-3160 |
| Practice Telephone | 8317247874 |
| Mailing Telephone | 8317247874 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
C41941 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
160 GREEN VALLEY RD |
| City | FREEDOM |
| State | CA |
| Zip Code | 95019-3160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790799047 | Watsonville Surgeons Group LLC | Clinic/Center | 160 Green Valley Rd, Suite 101, Freedom, CA 95019-3160 | 2006-07-29 |
| 1154969806 | Stacey C Hanlon Md PC | Anesthesiology | 160 Green Valley Rd, Freedom, CA 95019-3160 | 2019-12-12 |
| 1871849984 | Anne Morganti Kato | Ophthalmology | 160 Green Valley Rd, #202, Freedom, CA 95019-3160 | 2012-07-26 |
| 1033342829 | John V. Crowder Jr M.d. Inc. | Ophthalmology | 160 Green Valley Rd, Suite202, Freedom, CA 95019-3160 | 2009-08-27 |
| 1013150085 | William C Kadell | Optometrist | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2009-04-07 |
| 1104095058 | Conrad Hamako, M.d. Inc. | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2008-02-25 |
| 1841469798 | John V Crowder Jr Md Inc | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2008-02-25 |
| 1558565416 | Thomas M Leverone M D Inc | Anesthesiology | 160 Green Valley Rd, Freedom, CA 95019-3160 | 2007-06-13 |
| 1831391937 | Douglas A Liddicoat Inc | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2007-06-01 |
| 1164560066 | Coastal Eye Associates, A Medical Corporation | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2007-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757428 | J. B. Physical Therapy, Inc. | Physical Therapist | 212 Green Valley Road, Freedom, CA 95019 | 2018-07-24 |
| 1639514441 | Isamar Baeza | Counselor | 2716 Freedom Blvd., Freedom, CA 95019 | 2013-05-07 |
| 1174891386 | Lisa Patrice Hamil | Pharmacist | 1810 Freedom Blvd., Freedom, CA 95019 | 2011-12-02 |
| 1346363710 | Chad Truong | Dentist | 2016 Freedom Boulevard, Freedom, CA 95019 | 2007-04-09 |
| 1962539585 | Frederick Wen Kang Chen | Internal Medicine | 243 Green Valley Rd Suite #e, Freedom, CA 95019 | 2007-02-28 |
| 1538277819 | Jacqueline Morris-lopez | Physician Assistant | 108 Green Valley Rd, Freedom, CA 95019 | 2006-08-28 |
| 1912979725 | Angela Molina | Anesthesiology | 160 Green Valley Rd Ste 101, Freedom, CA 95019 | 2006-02-06 |
| 1194704973 | David A South Md & Kim M Albridge Md A Medical Corporation | Dermatology | 204 Green Valley Road, Freedom, CA 95019 | 2006-01-11 |
| 1699232108 | Kayhan Mashouf Dmd Inc | Dentist | 270 Green Valley Rd, Freedom, CA 95019 | 2019-02-21 |
| 1194215434 | Hai Phu Duong | Pharmacist | 1810 Freedom Blvd, Freedom, CA 95019 | 2018-05-11 |
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| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653080 | Nihar Bhakta | Pediatrics | 3430 Sitio Sandia, Carlsbad, CA 92009-8483 | 2019-01-18 |
| 1821304403 | Pediatric Kidney Center Inc | Pediatrics | 5309 Aurora Way, Bakersfield, CA 93306-7808 | 2010-08-20 |
| 1659504959 | Nianzhou Xiao | Pediatrics | 9300 Valley Childrens Pl Dept Of, Madera, CA 93636-8761 | 2009-09-02 |
| 1104066877 | Lyndon & Belinda Senar Mds Inc | Pediatrics | 9840 Brimhall Rd, Bakersfield, CA 93312-2791 | 2009-02-20 |
| 1306052667 | James En-cheh Tong | Pediatrics | 533 Parnassus Ave # U-585, San Francisco, CA 94143-2208 | 2007-05-15 |
| 1487874954 | Elizabeth Michelle Talley | Pediatrics | 300 Pasteur Dr Rm G306, Stanford, CA 94305-2200 | 2007-04-26 |
| 1831266048 | Paul Scott Kurtin | Pediatrics | 1157 Solana Dr, Del Mar, CA 92014-3907 | 2006-11-30 |
| 1780773721 | Hma Mahdavi | Pediatrics | 1760 Termino Ave Ste 214, Long Beach, CA 90804-2169 | 2006-10-11 |
| 1801982301 | Gary Robert Lerner | Pediatrics | 4650sunset Blvd, Los Angeles, CA 90027-6062 | 2006-10-04 |
| 1841214376 | Cynthia Wong | Pediatrics | 300 Pasteur Drive, G306, Stanford, CA 94305-5208 | 2006-07-27 |
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| 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.