Philip John Gamboa Rivera, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36769 Issued in CA

Practice address

2821 Crow Canyon Rd
San Ramon, CA 94583-1659

Phone

(925) 838-4222

NPI assigned

Oct 4, 2023

Last updated

Nov 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lee Chiropractic, Inc.

  • Chiropractor
  • San Ramon, CA
  • NPI 1619223021
  NPD
• Marshall T Lee Chiropractic, Inc.

  • Chiropractor
  • San Ramon, CA
  • NPI 1548992019
  NPD

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1407636657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 CROW CANYON RD STE 104",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831659",
            "telephone_number": "925-838-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 CROW CANYON RD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831659",
            "telephone_number": "925-838-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "PHILIP JOHN",
        "middle_name": "GAMBOA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ritenour
• Ryan L Ritter
• Matthew Gabriel Rivera Barillas
• Andrew Robert Rivera, MD
• Cassandra L Rivera
• Veronica Rivera
• Valeria Isabel Rizo-Franco
• Erick Rizzotto, MD
• Erin Robbins
• Joanne Robelen, LMT

• Chiropractor in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; 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.