Jerry Dwight Gambrell II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1550 Treat Ave
San Francisco, CA 94110-5234

Phone

(415) 816-4201

NPI assigned

Jul 1, 2008

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1891957668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 TREAT AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 TREAT AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105234",
            "telephone_number": "415-816-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBRELL",
        "first_name": "JERRY",
        "middle_name": "DWIGHT",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua G. Gamboa, RN
• Michael Victor Gamboa, DDS
• Susan E Gamboa, LCSW
• Yolanda E Gamboa, PH.D.
• Dina A. Gamboni, MSW
• Robert Steven Gamburd, MD
• Pedro L Gambus, M.D.
• Alejandra Lisa Gamez-Villanueva
• Corinna Alisangco Gamez, MD
• Lily Victoria Ver Gammad

• Mental Health Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.