Heidi Nicandra Gama

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

733143 Issued in CA

Practice address

44443 10TH St W
Lancaster, CA 93534-3346

Phone

(661) 429-9448

NPI assigned

Dec 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1093311904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44443 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343346",
            "telephone_number": "661-429-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44443 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343346",
            "telephone_number": "661-429-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMA",
        "first_name": "HEIDI",
        "middle_name": "NICANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "733143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Joseph Gallegos, LMFT
• Karla Gallegos
• Randall Richard Gallegos
• Stephanie Gallegos
• Alecsander Rosa Galo, BA
• Aldo T Gamarra, M.D.
• Yulissa Gamero
• Martha Gamiz, R.D.A. E.F
• Denise Gammage
• Michelle Bolibol Gano, PHARMD

• Licensed Vocational Nurse in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.