Norva a. Gamboa DDS., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORVA A. GAMBOA DDS., INC.

Practice address

15708 Pomerado Rd Ste N101
Poway, CA 92064-2066

Phone

(858) 524-1257

Fax

(858) 524-1259

NPI assigned

Mar 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Norva Gamboa, DDSNPI 1225376379

Title

President

Phone

(858) 524-1257

Specialties & licenses 1

Addresses

Other names 1

• Oral Prime Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norva Antonio Gamboa, D.D.S.

  • Dentist
  • Poway, CA
  • NPI 1225376379
  NPD Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1548916398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD STE N101",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "858-524-1257",
            "fax_number": "858-524-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD STE N101",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "858-524-1257",
            "fax_number": "858-524-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORVA A. GAMBOA DDS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "GAMBOA",
        "authorized_official_first_name": "NORVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-524-1257",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Prime",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oral Prime",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North County Internists, Medical Corp.
• North County Neurology Associates Medical Group (North County Neurology Associates)
• North County Ophthalmology Medical Group
• North County Ophthalmology Medical Group, Inc.
• Caroline Norton
• Sophia Norvell
• Sarai Nui
• Alexia Nunez
• Emily F Nunn
• Michael Nussbaum, M.D.

• Dental Clinic/Center in Poway, CA
• Providers in Poway, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.