Individual provider Active NPI

Joel Gallano Ombao, NP-C

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1275870628
Registry record updated Mar 17, 2018
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22676 Issued in CA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cure4Feet Podiatry Group Inc CurrentSince Oct 15, 2013 Accepting new patients
Dynamic Health Services, Inc PastSince Mar 10, 2004 Accepting new patients
Care Dimensions LLC PastSince Nov 18, 2004 Accepting new patients
General Home Health Services, Inc PastSince Sep 1, 2005 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.

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

Verify at the official NPI Registry.