Active NPI
Angelica Gamboa
- School Psychologist
- Montclair, CA
National Provider Identifier
1366353690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 250109800
- Practice address
- 10207 Greenwood Ave
Montclair, CA 91763-3709 - Phone
- (626) 353-0219
- NPI assigned
- Sep 15, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 250109800 | CA | Primary |
Addresses
Primary practice location
10207 Greenwood Ave
Montclair, CA 91763-3709
Mailing address
10207 Greenwood Ave
Montclair, CA 91763-3709
Phone (626) 353-0219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1366353690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10207 GREENWOOD AVE",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917633709",
"telephone_number": "626-353-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10207 GREENWOOD AVE",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917633709",
"telephone_number": "626-353-0219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBOA",
"first_name": "ANGELICA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "250109800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.