Active NPI
Andrea Pinnick Gamble, D.D.S.
- Pediatric Dentistry
- Redondo Beach, CA
National Provider Identifier
1447452735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 57985
- Practice address
- 1706 S. Elena Ave
Ste. C
Redondo Beach, CA 90277 - Phone
- (310) 373-0007
- Fax
- (310) 373-0014
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | SP242 | CA | |
| Pediatric Dentistry | 1223P0221X | 57985 | CA | Primary |
Addresses
Primary practice location
1706 S. Elena Ave
Ste. C
Redondo Beach, CA 90277
Mailing address
1706 S. Elena Ave
Ste. C
Redondo Beach, CA 90277
Phone (310) 373-0007
Other names 1
- Dr. Andrea Christine Pinnick
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP242 | CA | MD | General Practice Dentistry |
| 57985 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrea Pinnick Gamble DDS, Inc | Pediatric Dentistry | Past | Accepting new patients |
| Nina Le, D.D.S., Inc. | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Redondo Beach, CA
- NPI 1528515129
-
- Pediatric Dentistry
- Redondo Beach, CA
- NPI 1154539468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1447452735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 S. ELENA AVE",
"address_2": "STE. C",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90277",
"telephone_number": "310-373-0007",
"fax_number": "310-373-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 S. ELENA AVE",
"address_2": "STE. C",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90277",
"telephone_number": "310-373-0007",
"fax_number": "310-373-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "ANDREA",
"middle_name": "PINNICK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "SP242",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "57985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "PINNICK",
"middle_name": "CHRISTINE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.