Individual provider Active NPI

Daisy Mayela Perez Gamboa, MS, APCC

  • Mental Health Counselor
  • Santa Ana, CA
National Provider Identifier
1023599800
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7366 Issued in CA
Practice address
1650 E 4TH St Ste 101
Santa Ana, CA 92701-5159
Phone
(877) 611-2272
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7366 CA Primary

Addresses

Primary practice location

1650 E 4TH St Ste 101
Santa Ana, CA 92701-5159

Mailing address

1650 E 4TH St Ste 101
Santa Ana, CA 92701-5159
Phone (877) 611-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7366CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Casa de la Familia CurrentSince Feb 23, 2025 Accepting new patients

Locations

1650 E 4th St
Ste 101
Santa Ana, CA 92701
Phone (714) 525-8509

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1023599800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 E 4TH ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015159",
            "telephone_number": "877-611-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E 4TH ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015159",
            "telephone_number": "877-611-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ GAMBOA",
        "first_name": "DAISY",
        "middle_name": "MAYELA",
        "name_prefix": "Mrs.",
        "credential": "MS, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "7366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.