Emily Joan Gamboa, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

29229 Issued in CA

Practice address

4909 Murphy Canyon Rd Ste 310
San Diego, CA 92123-4301

Phone

(323) 377-5303

NPI assigned

Dec 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1336788959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 MURPHY CANYON RD STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234301",
            "telephone_number": "323-377-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 MURPHY CANYON RD STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234301",
            "telephone_number": "323-377-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "EMILY",
        "middle_name": "JOAN",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "29229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "4909 Murphy Canyon Rd Ste 310",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921234301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susanna Welch Gamble
• Samantha Anne Gambles Farr, FNP-C
• David R. Gambling, M.D.
• Alina Gamboa
• Diana Itzel Gamboa
• Jacqueline Michelle Gamboa, PSY.D.
• Kaylee Onna Gamboa
• Nia Gamboa
• Sofia Gamboa
• Eugene Gambol

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.