DR. M.A.P. GAMBOA (NPI# 1225172216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225172216 |
Entity Type | Individual |
Full Name | DR. M.A.P. GAMBOA |
Other Name | DR. MARIA ALLEN P. GAMBOA |
Credential | M.D. |
Practice Address |
268 W Hospitality Ln Ste. 400 San Bernardino CA 92415-0001 |
Practice Telephone | 9093823087 |
Practice Fax Number | 9093823106 |
Mailing Telephone | 9093823087 |
Mailing Fax Number | 9093823106 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2011-03-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A34331 | CA | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A34331 | CA | Allopathic & Osteopathic Physicians |
Street Address |
268 W HOSPITALITY LN STE. 400 |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92415-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588701064 | Rajesh Patel | Psychiatry & Neurology | 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 | 2007-01-31 |
1902211774 | Veronica Lynn Kelley | Social Worker | 268 W Hospitality Ln, Ste 400, San Bernardino, CA 92415-0026 | 2014-06-30 |
1063827848 | Michael Lee Schertell | Marriage & Family Therapist | 268 W Hospitality Ln, San Bernardino, CA 92415-0026 | 2014-06-30 |
1851654073 | Patricia R Bird | Counselor | 268 W Hospitality Ln, Suite 400, San Bernardino, CA 92415-0026 | 2012-06-21 |
1780966465 | Kerry Ann Ortloff | Student in an Organized Health Care Education/Training Program | 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0026 | 2011-09-19 |
1972776763 | Lauren Jean Kissner | Psychiatry & Neurology | 268 W Hospitality Ln, Suite 400, San Bernardino, CA 92415-0026 | 2008-04-11 |
1083805121 | Marilyn Ross | Marriage & Family Therapist | 268 W Hospitality Ln, Suite 400, San Bernardino, CA 92415-0026 | 2007-08-05 |
1245447507 | Department of Behavioral Health, San Bernardino County Ca | Clinic/Center | 268 W Hospitality Ln, Suite 400, San Bernardino, CA 92415-0001 | 2007-05-17 |
1225163140 | Salvador E. Lasala | Psychiatry & Neurology | 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 | 2007-02-22 |
1558496455 | Romeo D. Villar | Psychiatry & Neurology | 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 | 2007-02-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578041042 | Karina Judith Barragan | Student in an Organized Health Care Education/Training Program | 19500 South Sunwest Lane, San Bernardino, CA 92415 | 2018-08-06 |
1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
1750825030 | Jordyn Ackerman | Marriage & Family Therapist | 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2016-12-06 |
1083063663 | San Bernardino County Department of Public Health | Public Health or Welfare | 1505 South D Street, San Bernardino, CA 92415 | 2016-06-06 |
1366821233 | Jodi Cerney | Counselor | 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 | 2015-05-26 |
1427442268 | Yessenia Cruz | Case Manager/Care Coordinator | 780 E Gilbert St Bldg H, San Bernardino, CA 92415 | 2015-03-18 |
1861808859 | Hector Armando Ortega | Student in an Organized Health Care Education/Training Program | 1950 S. Sunwest Ln., Rialto, CA 92415 | 2014-07-10 |
1437564762 | Ashlee Barker | Marriage & Family Therapist | 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 | 2014-06-25 |
1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
Find all providers in zip 92415 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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---|---|---|---|---|
1952836744 | Edwin Romel S. De Leon, M.d., Inc. | Psychiatry & Neurology | 208 W Highland Ave, San Bernardino, CA 92405-4018 | 2017-04-28 |
1003946278 | Antoinette Azar | Psychiatry & Neurology | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2007-03-06 |
1225163140 | Salvador E. Lasala | Psychiatry & Neurology | 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 | 2007-02-22 |
1588712566 | Lydia A. Roybal-aragon | Psychiatry & Neurology | 325 W Hospitality Ln, San Bernardino, CA 92408-3243 | 2007-01-08 |
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1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
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1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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City | SAN BERNARDINO |
Zip Code | 92415 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.