Firouzeh Alexandria Gamble, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95001976 Issued in CA

Practice address

50100 Golsh Rd
Valley Center, CA 92082-5338

Phone

(760) 749-1410

Fax

(760) 888-1974

NPI assigned

Jan 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indian Health Council IncGroup PAC ID 5294644795, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fgamble713047@direct.ochin.org

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.

• Indian Health Council, Inc

  • Federally Qualified Health Center (FQHC)
  • Valley Center, CA
  • NPI 1861449522
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1699165506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20091 MOUNT ISRAEL PL",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920297505",
            "telephone_number": "760-644-9891",
            "fax_number": "760-888-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50100 GOLSH RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825338",
            "telephone_number": "760-749-1410",
            "fax_number": "760-888-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "FIROUZEH",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Norte Home Care Co. (Mother Dolorosa Homecare)
• Erynne Veda Ambrosio Estoesta, RDH
• Michelle Everding
• Excelencia Behavioral Therapy
• Misty Faulkner, RDN
• Maria De Jesus Garcia, BBH
• Dianne Lavine Ghosh
• Shane Goldbach
• Paul Anthony Gonzalez, CADCII ICADC
• David Greb, M.D.

• Family Nurse Practitioner in Valley Center, CA
• Providers in Valley Center, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.