Active NPI
Maria Luisa Gamboa, MS., LMFT
- Marriage & Family Therapist
- Redlands, CA
National Provider Identifier
1730317488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 48545
- Practice address
- 1706 Plum LN Ste 121
Redlands, CA 92374-4578 - Phone
- (909) 659-7095
- NPI assigned
- Jul 1, 2009
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 48545 | CA | Primary |
Addresses
Primary practice location
1706 Plum LN Ste 121
Redlands, CA 92374-4578
Mailing address
1706 Plum LN Ste 121
Redlands, CA 92374-4578
Phone (909) 659-7095
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gamboacounseling@gmail.com | Health Information Exchange (HIE) |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48545 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1730317488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 PLUM LN STE 121",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744578",
"telephone_number": "909-659-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 PLUM LN STE 121",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744578",
"telephone_number": "909-659-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBOA",
"first_name": "MARIA LUISA",
"name_prefix": "Ms.",
"credential": "MS., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "48545",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "gamboacounseling@gmail.com",
"affiliation": "N",
"endpointDescription": "health information exchange",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "health information exchange",
"address_1": "1706 Plum Ln Ste 121",
"city": "Redlands",
"state": "CA",
"country_code": "US",
"postal_code": "923744578",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.