Active NPI
Gbama Mbayo
- Medical-Surgical Registered Nurse
- San Francisco, CA
National Provider Identifier
1265192876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 95072066
- Practice address
- 5880 3Rd St Apt 437
San Francisco, CA 94124-3172 - Phone
- (518) 866-3283
- NPI assigned
- Dec 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 95072066 | CA | Primary |
Addresses
Primary practice location
5880 3Rd St Apt 437
San Francisco, CA 94124-3172
Mailing address
5880 3Rd St Apt 437
San Francisco, CA 94124-3172
Phone (518) 866-3283
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | gbama.mbayo@sfdph.org | Other | |
| Other URL | EPIC | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95072066 | CA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1265192876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5880 3RD ST APT 437",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941243172",
"telephone_number": "518-866-3283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 3RD ST APT 437",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941243172",
"telephone_number": "518-866-3283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAYO",
"first_name": "GBAMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-22",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CA",
"license": "95072066",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "gbama.mbayo@sfdph.org",
"affiliation": "N",
"endpointDescription": "gbama.mbayo@sfdph.org",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "gbama.mbayo@sfdph.org",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "gbama.mbayo@sfdph.org",
"address_1": "333 Valencia Street",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "94103",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EPIC",
"affiliation": "N",
"endpointDescription": "EPIC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EPIC",
"address_1": "333 Valencia Street",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "94103",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.