M.a.P. Gamboa, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A34331 Issued in CA

Practice address

268 W Hospitality LN
Ste. 400
San Bernardino, CA 92415-0001

Phone

(909) 382-3087

Fax

(909) 382-3106

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Maria Allen P. Gamboa Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1225172216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 W HOSPITALITY LN",
            "address_2": "STE. 400",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924150001",
            "telephone_number": "909-382-3087",
            "fax_number": "909-382-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 W HOSPITALITY LN",
            "address_2": "STE. 400",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924150001",
            "telephone_number": "909-382-3087",
            "fax_number": "909-382-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "M.A.P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A34331",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A34331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ALLEN",
            "last_name": "GAMBOA",
            "middle_name": "P.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marcy Galvez-Stringham
• Victoria Gamboa Mejia
• Thelma Yesenia Gamboa-Maldonado, DRPH, MPH, CHW
• Cheyenne Gamboa
• Jessica Gamboa, ADC
• Seth Gambrell
• Michelle Gamez
• Reynaldo Mejia Gamo Jr., RN
• Astrid Gandara
• Suraj Rajendra Ganiger

• Child & Adolescent Psychiatry Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.