Active NPI
Jon-Paul Gamboa
- Behavior Analyst
- Studio City, CA
National Provider Identifier
1770916769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 121754 Ventura Blvd.
Ste D
Studio City, CA 91604 - Phone
- (818) 308-6226
- Fax
- (818) 308-6487
- NPI assigned
- Aug 14, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
121754 Ventura Blvd.
Ste D
Studio City, CA 91604
Mailing address
27240 Turnberry LN
Ste 240
Valencia, CA 91355-1029
Phone (661) 254-7086
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Learning Center | Past | Accepting new patients | |
| Behavioral Learning Center, Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Valencia, CA
- NPI 1437493749
-
- Behavior Analyst
- Valencia, CA
- NPI 1477897163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1770916769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27240 TURNBERRY LN",
"address_2": "STE 240",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551029",
"telephone_number": "661-254-7086",
"fax_number": "661-254-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121754 VENTURA BLVD.",
"address_2": "STE D",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "91604",
"telephone_number": "818-308-6226",
"fax_number": "818-308-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBOA",
"first_name": "JON-PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.