Jesus Arechiga Gamboa, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18834 Issued in CA

Practice address

6233 Pioneertown Road
Yucca Valley, CA 92284

Phone

(760) 774-2739

NPI assigned

Apr 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Family Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Palm Springs, CA
  • NPI 1497847479
  NPD

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1215179684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 PIONEERTOWN RD",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845300",
            "telephone_number": "760-774-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 PIONEERTOWN ROAD",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-774-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "JESUS",
        "middle_name": "ARECHIGA",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary O Frazier-Rivers
• Dina L. Fulgoni
• Ronald Gahagan
• Nichole Theresa Gaines
• Mark Gajtka, PT, DPT, ATC
• Wendy Joanna Garcia Corado, LMT
• Mariah Garcia, MA
• Ruben Garcia
• Patricia Gardner
• Anetrice Garland

• Family Nurse Practitioner in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.