Olivia Gage Gamboa, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2022-02803 Issued in NC

Practice address

571 S Allen Rd
Flat Rock, NC 28731-9447

Phone

(828) 692-6178

Fax

(828) 692-2365

NPI assigned

Apr 9, 2013

Last updated

Nov 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

University of North Carolina at Chapel Hill School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henderson County Hospital CorporationGroup PAC ID 8123938115, 231 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017
• Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as apm

Quality

77.7

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ogamboa@fourseasonscfl.org
• Direct secure messaging: ogamboa945782@direct.unc.nchie.net

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.

• Henderson County Hospital Corporation

  dba Pardee Medical Associates

  • Multi-Specialty Clinic/Center
  • Hendersonville, NC
  • NPI 1447444559

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299

  Family Medicine

  Medicare reassignment NPD
• University of California SFGH Medical Group

  dba UCSF SFGH Medical Group Dept of Anesthesia

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1366417420
  Medicare reassignment NPD
• Henderson County Hospital Corporation

  dba Pardee Rx-Fleming

  • Community/Retail Pharmacy
  • Hendersonville, NC
  • NPI 1013694165
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510

  Family Medicine

  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• University of California SFGH Medical Group

  dba UCSF SFGH Medical Group Division of Vascular Surgery

  • Vascular Surgery Physician
  • San Francisco, CA
  • NPI 1033913959
  NPD
• University of California SFGH Medical Group

  dba UCSF SFGH Medical Group Dept of Family Practice

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174598296
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henderson County Hospital Corporation

  dba Margaret R. Pardee Memorial Hospital

  • General Acute Care Hospital
  • Hendersonville, NC
  • NPI 1144247982
  Care Compare affiliation
• MH Mission Hospital, LLLP

  dba Mission Hospital

  • General Acute Care Hospital
  • Asheville, NC
  • NPI 1962987677
  Care Compare affiliation

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1881037810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "OLIVIA",
        "middle_name": "GAGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-02803",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2022-02803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ogamboa@fourseasonscfl.org",
            "affiliation": "N",
            "address_1": "571 S Allen Rd",
            "city": "Flat Rock",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287319447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Flat Rock Family Dentistry
• Four Seasons Health Partners, LLC
• Christina Louise Fournier-Southern, LCSW
• Jaime Foyle, LCSW
• James Charles Furness Jr., RPH
• Patrick W Garrison, DDS
• William T Garrison, DDS
• Daniell Miller Gold
• Catherine Doan Gordon, NP-C
• Brooke Graves, PA

• Family Medicine Physician in Flat Rock, NC
• Providers in Flat Rock, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.