Rodimiro Desi Gamboa, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC20468 Issued in CA

Practice address

2808 Roosevelt St
Suite 102
Carlsbad, CA 92008-1688

Phone

(760) 729-0252

Fax

(760) 730-9911

NPI assigned

Jun 7, 2006

Last updated

Apr 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carlsbad Family Medicine

  dba Medicine in Motion

  • Clinic/Center
  • Carlsbad, CA
  • NPI 1780154864
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1578503587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 ROOSEVELT ST",
            "address_2": "SUITE 102",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081688",
            "telephone_number": "760-729-0252",
            "fax_number": "760-730-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 ROOSEVELT ST",
            "address_2": "SUITE 102",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081688",
            "telephone_number": "760-729-0252",
            "fax_number": "760-730-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "RODIMIRO",
        "middle_name": "DESI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC20468",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Bourgeois Gallup, NP
• Janet Galvan
• Karina Galvan
• Valerie Galvan
• Staci Galvin-Castro
• Taryn Gammon, PHD
• Kean S. Ganan, D.O
• Amy Garcia-Alvarado
• Milagros Garcia-Randel
• Alondra Garcia-Rojas

• Chiropractor in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.