Active NPI
Gloria Marie F. Kimie Tumbaga, MD
- Surgery Physician
- Pasadena, CA
National Provider Identifier
1376860346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A121308
- Practice address
- 1294 E Colorado Blvd
Pasadena, CA 91106-1901 - Phone
- (808) 387-3302
- NPI assigned
- Apr 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A121308 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1294 E Colorado Blvd
Pasadena, CA 91106-1901
Mailing address
1294 E Colorado Blvd
Pasadena, CA 91106-1901
Phone (808) 387-3302
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121308 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1376860346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1294 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061901",
"telephone_number": "808-387-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1294 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061901",
"telephone_number": "808-387-3302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMBAGA",
"first_name": "GLORIA MARIE F.",
"middle_name": "KIMIE",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-29",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A121308",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.