NANCY GAMBOA (NPI# 1619517547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619517547 |
| Entity Type | Individual |
| Full Name | NANCY GAMBOA |
| Credential | CMA |
| Practice Address |
5870 Arlington Ave Riverside CA 92504-2037 |
| Practice Telephone | 9516836596 |
| Practice Fax Number | 9516834239 |
| Mailing Telephone | 9516836596 |
| Mailing Fax Number | 9516834239 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CERTIFIED MEDICAL ASSISTANT | T7F3W6S9 | 01 |
| Street Address |
5870 ARLINGTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144248410 | Violeta M De Jesus | Internal Medicine | 5870 Arlington Ave, Riverside, CA 92504 | 2006-07-17 |
| 1659979490 | Stefanie Michelle Rodriguez | Marriage & Family Therapist | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-10-14 |
| 1245847185 | Marlene Naranjo | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-09-24 |
| 1053927335 | Samantha Navarro | Social Worker | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-09-22 |
| 1326667486 | Terry Lynn Crawford | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-04-09 |
| 1053949149 | Ana L Navarro | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-04-01 |
| 1194350439 | Allison England | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-03-06 |
| 1992330211 | Evelynn Verenizee Rojo | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-03-06 |
| 1033744487 | Anthony Joseph Herrera Jr. | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-03-05 |
| 1063045490 | Kellie Rose Harrison | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005151 | Elvira Martinez Herrera | Case Manager/Care Coordinator | 19376 Lambeth Ct, Riverside, CA 92508-6217 | 2020-05-20 |
| 1831720366 | Kimberly Ann Marshall | Case Manager/Care Coordinator | 18251 Northstar Ave, Riverside, CA 92508-9686 | 2020-02-03 |
| 1124659057 | Anthony Avalos | Case Manager/Care Coordinator | 555 Technology Ct Ste 105, Riverside, CA 92507-2155 | 2020-01-29 |
| 1306486451 | Sharice Fox | Case Manager/Care Coordinator | 5711 Magnolia Ave, Riverside, CA 92506-1824 | 2020-01-07 |
| 1588208318 | Fabiola Palacios | Case Manager/Care Coordinator | 7894 Mission Grove Pkwy S, Riverside, CA 92508-7800 | 2019-11-05 |
| 1962065185 | Andrea Brito-barriga | Case Manager/Care Coordinator | 525 Technology Ct Ste 300, Riverside, CA 92507-2191 | 2019-04-15 |
| 1427540392 | Anita Pauline Hendricks | Case Manager/Care Coordinator | 1020 Iowa Ave Ste A, Riverside, CA 92507-2105 | 2018-06-05 |
| 1326530270 | Ruben Correa | Case Manager/Care Coordinator | 9889 County Farm Rd, Riverside, CA 92503-3504 | 2018-06-05 |
| 1386136323 | Jessica Ramos | Case Manager/Care Coordinator | 1201 Research Park Dr Ste 100, Riverside, CA 92507-2147 | 2018-06-05 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| Find all providers in RIVERSIDE | ||||
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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.