Active NPI
Yessenia Carapia Gamboa
- School Psychologist
- Brentwood, CA
National Provider Identifier
1508336108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 220122163
- Practice address
- 850 2ND St
Brentwood, CA 94513-1132 - Phone
- (925) 634-3521
- NPI assigned
- Nov 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 220122163 | CA | Primary |
Addresses
Primary practice location
850 2ND St
Brentwood, CA 94513-1132
Mailing address
850 2ND St
Brentwood, CA 94513-1132
Phone (925) 634-3521
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 |
|---|---|---|---|
| 220122163 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadiant, LLC | Single Specialty | Past | Accepting new patients |
| Centra Medical Group, LLC | Single Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1508336108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 2ND ST",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945131132",
"telephone_number": "925-634-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 2ND ST",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945131132",
"telephone_number": "925-634-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBOA",
"first_name": "YESSENIA",
"middle_name": "CARAPIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "CA",
"license": "220122163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.