Kimberly Gambino, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

WV793 Issued in WV

Practice address

6030 Santo Rd Ste D
San Diego, CA 92124-1196

Phone

(858) 541-0505

Fax

(858) 541-0527

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bodzin Chiropractic Professional Corporation

  • Chiropractor
  • San Diego, CA
  • NPI 1710005541
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225166648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 SANTO RD STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241196",
            "telephone_number": "858-541-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 SANTO RD STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241196",
            "telephone_number": "858-541-0505",
            "fax_number": "858-541-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "KIMBERLY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "WV793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE BCBS",
            "identifier": "1712645",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald T Gambala, RN, CRNA
• Vanessa T Gambala, NP
• Kyle Martin Gambill
• Gambino Full of Life Chiropractic, Inc
• Daniel W Gambino, DC
• Christine M Gamble, PHARM.D.
• Craig Gamble, LVN
• James Richard Gamble Sr.
• Jennifer N Gamble
• Lara Elise Gamble, MSW

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.