Benjamin Tiongson Gamboa, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

HD8771 Issued in HI

Practice address

135 S Wakea Ave
Ste 107
Kahului, HI 96732-1385

Phone

(808) 873-0299

Fax

(808) 873-0290

NPI assigned

Nov 10, 2005

Last updated

Feb 20, 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Benjamin T. Gamboa,M.D. L.L.C.

  • Cardiovascular Disease Physician
  • Kahului, HI
  • NPI 1700205275
  Authorized official Same address or phone

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266624000000",
    "number": "1861473233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S WAKEA AVE",
            "address_2": "STE 107",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321385",
            "telephone_number": "808-873-0299",
            "fax_number": "808-873-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S WAKEA AVE",
            "address_2": "STE 107",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321385",
            "telephone_number": "808-873-0299",
            "fax_number": "808-873-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "BENJAMIN",
        "middle_name": "TIONGSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2010-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "HD8771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07457901",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST",
            "identifier": "0000201368",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE",
            "identifier": "A07457901",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "201368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G Corp Dba Maui Home Infusion
• Nicole Galasso, RBT
• Nicole Naulani Galindo, LCSW
• Kayla Gallagher
• Peter Alfred Galpin, M.D.
• Gammie Homecare, Inc. (Gammie Home Care)
• Heather Gangnier, LMT
• Briana C. Gapsis, M.D.
• Jenean Noelani Garcia, APRN
• Khryss Audrey Garcia, RBT

• Cardiovascular Disease Physician in Kahului, HI
• Providers in Kahului, HI by specialty
• Cardiovascular Disease Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.