Jose C. Gamboa, M.D., Inc.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A45291 Issued in CA

Legal business name

JOSE C. GAMBOA, M.D., INC.

Practice address

1020 S Anaheim Blvd
Suite 214
Anaheim, CA 92805-5851

Phone

(714) 935-7684

Fax

(714) 776-0230

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Jose Caguiat Gamboa, M.D.NPI 1275615718

Title

President-C.E.O.

Phone

(714) 935-7684

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jose Gamboa, MD

  • Child & Adolescent Psychiatry Physician
  • Anaheim, CA
  • NPI 1275615718
  NPD (past) Authorized official
• Onsi Habeeb El-Zayat, M.D.

  • Psychiatry Physician
  • Anaheim, CA
  • NPI 1033205554
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1639243769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6334",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928160334",
            "telephone_number": "714-935-7684",
            "fax_number": "714-776-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S ANAHEIM BLVD",
            "address_2": "SUITE 214",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055851",
            "telephone_number": "714-935-7684",
            "fax_number": "714-776-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE C. GAMBOA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "GAMBOA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CAGUIAT",
        "authorized_official_title_or_position": "PRESIDENT-C.E.O.",
        "authorized_official_telephone_number": "714-935-7684",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A45291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joon Y Choi MD Inc
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• Rosa Maria Jorge
• Nicole Jorgensen
• Joseph J. Munoz M.D., Inc.
• Denise Elaine Joseph, MD
• Femila Biju Joseph, NP
• Sebastien Joseph
• Shary Joseph, DNP

• Child & Adolescent Psychiatry Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.