Thomas Ross Gambrell, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

CFE19963 Issued in CA

Practice address

727 S. Beverly Glen Blvd.
Los Angeles, CA 90024-2533

Phone

(310) 474-1361

Fax

(310) 474-1361

NPI assigned

Sep 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1326397365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S. BEVERLY GLEN BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242533",
            "telephone_number": "310-474-1361",
            "fax_number": "310-474-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S. BEVERLY GLEN BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242533",
            "telephone_number": "310-474-1361",
            "fax_number": "310-474-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBRELL",
        "first_name": "THOMAS",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "CFE19963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelia Gamboa
• Stephanie Gamboa
• Valerie Gamboa
• Vanessa Gamboa
• Veronica Gamboa
• Berta Iveth Gamero
• Sandra Gamero
• Katrina Games
• Sandra Gamez Hernandez
• Graciela Gamez

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.