JOSE C. GAMBOA, M.D., INC. (NPI# 1639243769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639243769 |
| Entity Type | Organization |
| Organization Name | JOSE C. GAMBOA, M.D., INC. |
| Practice Address |
1020 S Anaheim Blvd Suite 214 Anaheim CA 92805-5851 |
| Mailing Address |
Po Box 6334 Anaheim CA 92816-0334 |
| Practice Telephone | 7149357684 |
| Practice Fax Number | 7147760230 |
| Mailing Telephone | 7149357684 |
| Mailing Fax Number | 7147760230 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-07-30 |
| Authorized Official Name | JOSE CAGUIAT GAMBOA (PRESIDENT-C.E.O.) |
| Authorized Official Telephone | 7149357684 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A45291 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1020 S ANAHEIM BLVD SUITE 214 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-5851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504138 | Carolyn Anne Mottola | Psychologist | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92708 | 2005-11-08 |
| 1841658291 | Natalie Anne Bader | Social Worker | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92805-5851 | 2016-01-31 |
| 1619355500 | Anaheim Care Pharmacy Inc | Pharmacy | 1020 S Anaheim Blvd, Suite 106, Anaheim, CA 92805-5851 | 2015-05-11 |
| 1316331887 | Sunghye Med Corp | Psychiatric Residential Treatment Facility | 1020 S Anaheim Blvd, Suite 209, Anaheim, CA 92805-5851 | 2015-03-23 |
| 1235549262 | Mi Familia Nursing PC | Nurse Practitioner | 1020 S Anaheim Blvd, Suite 208, Anaheim, CA 92805-5851 | 2014-04-29 |
| 1245540475 | J.a.l. Santos M.d. Inc | Clinic/Center | 1020 S Anaheim Blvd, Suite 220, Anaheim, CA 92805-5851 | 2010-10-21 |
| 1689987521 | Pravin J Kansagra Md Inc | Clinic/Center | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92805-5851 | 2010-07-21 |
| 1619100260 | Advanced Research Center, Inc. | Psychologist | 1020 S Anaheim Blvd, #316, Anaheim, CA 92805-5851 | 2009-08-31 |
| 1821118472 | Gregory Lwinthet Chan | Obstetrics & Gynecology | 1020 S Anaheim Blvd, Ste #101, Anaheim, CA 92805-5807 | 2007-03-29 |
| 1780709253 | Bum Soo Lee | Psychiatric Hospital | 1020 S Anaheim Blvd, Anaheim, CA 92805-5851 | 2007-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972829711 | Behrouz Namdari | Psychiatry & Neurology | 1188 N Euclid St, Anaheim, CA 92801-1900 | 2010-04-19 |
| 1639339997 | Sabena Panhwar | Psychiatry & Neurology | 1188 N Euclid St, Anaheim, CA 92801-1900 | 2008-06-11 |
| 1780726307 | Prithpal Kaur Singh | Psychiatry & Neurology | 160 S Fairmont Blvd, Anaheim, CA 92808-1336 | 2007-02-12 |
| 1699831487 | Cristiana N. Motet-grigoras | Psychiatry & Neurology | 2531 W Woodland Dr, Anaheim, CA 92801-2637 | 2006-12-28 |
| 1487721494 | Alex F. Garcia | Psychiatry & Neurology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| 1952472987 | David E. Allyn | Psychiatry & Neurology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| 1427129451 | Patricia Cahill | Psychiatry & Neurology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| 1962573865 | Jyotsna U. Thakkar | Psychiatry & Neurology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| 1275615718 | Jose Gamboa | Psychiatry & Neurology | 1020 S Anaheim Blvd Ste 214, Anaheim, CA 92805-5808 | 2006-10-20 |
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| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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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.