Active NPI
Joel Gallano Ombao, NP-C
- Family Nurse Practitioner
- Riverside, CA
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 19, 2026.
- Section 1128a(2) exclusion effective Jan 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22676
- Practice address
- 2880 Hulen PL
Riverside, CA 92507-2606 - Phone
- (951) 595-4444
- Fax
- (951) 462-1034
- NPI assigned
- Jan 4, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22676 | CA | Primary |
Addresses
Primary practice location
2880 Hulen PL
Riverside, CA 92507-2606
Mailing address
2880 Hulen PL
Riverside, CA 92507-2606
Phone (951) 595-4444
Other practice location 1
596 N Lake Ave
203
Pasadena, CA 91101-1455
Phone (626) 405-0449
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cure4Feet Podiatry Group Inc | Current | Accepting new patients | |
| Dynamic Health Services, Inc | Past | Accepting new patients | |
| Care Dimensions LLC | Past | Accepting new patients | |
| General Home Health Services, Inc | Past | Accepting new patients |
Locations
3755 Beverly Blvd
#300
Los Angeles, CA 90004
Phone (323) 230-4440
599 Inland Center Dr
Ste 114
San Bernardino, CA 92408
Phone (909) 327-4700
Organizations & group practices 4
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.
-
- Home Health Agency
- Los Angeles, CA
- NPI 1093880155
-
- Foot & Ankle Surgery Podiatrist
- North Hollywood, CA
- NPI 1104149269
-
- Home Health Agency
- Burbank, CA
- NPI 1356511307
-
- Community Based Hospice Care Agency
- Pasadena, CA
- NPI 1891933412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1275870628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 HULEN PL",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072606",
"telephone_number": "951-595-4444",
"fax_number": "951-462-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 HULEN PL",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072606",
"telephone_number": "951-595-4444",
"fax_number": "951-462-1034"
}
],
"practiceLocations": [
{
"address_1": "596 N Lake Ave",
"address_2": "203",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911011455",
"country_code": "US",
"telephone_number": "626-405-0449",
"fax_number": "888-922-1252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OMBAO",
"first_name": "JOEL",
"middle_name": "GALLANO",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.