Norva Antonio Gamboa, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

61536 Issued in CA

Practice address

15708 Pomerado Rd Ste N101
Poway, CA 92064-2066

Phone

(858) 524-1257

Fax

(858) 524-1259

NPI assigned

Jan 24, 2013

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

Practice roles

Locations

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.

• Norva a. Gamboa DDS., Inc.

  • Dental Clinic/Center
  • Poway, CA
  • NPI 1548916398
  NPD Authorized official

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1225376379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 TICKET ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262842",
            "telephone_number": "858-382-0842",
            "fax_number": "619-269-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD STE N101",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "858-524-1257",
            "fax_number": "858-524-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "NORVA",
        "middle_name": "ANTONIO",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS61536",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galen Inpatient Physicians Inc
• Dora Elena Gallego
• Irma Veronica Gallego, MASSAGE THERAPIST
• Zara Gallegos
• Galya Raz, DMD, a Professional Dental Corporation
• Ruishan Gao, L. AC.
• Sugey Bibiana Garcia Martinez
• Alma Garcia, PT
• Crystal Garcia
• Sean Gardner, CMT

• Dentist in Poway, CA
• Providers in Poway, CA by specialty
• Dentist in California

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