JOSE DANIEL MARTINEZ-GAMBA (NPI# 1285935262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285935262 |
| Entity Type | Individual |
| Full Name | JOSE DANIEL MARTINEZ-GAMBA |
| Credential | MD |
| Practice Address |
1012 W Abriendo Ave Pueblo CO 81004-1128 |
| Practice Telephone | 7195832207 |
| Mailing Telephone | 7195832207 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2014-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
DR0052975 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
1012 W ABRIENDO AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487617320 | William Douglas Leusink | Psychiatry & Neurology | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2006-04-11 |
| 1366043531 | Nicolle Mainthow | Marriage & Family Therapist | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1790386894 | Bobbie Griffin | Counselor | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1376144451 | Ruby Martinez | Specialist | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1902407182 | Kevin Douglas | Specialist | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1316545635 | Jessica Williams | Counselor | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-10-09 |
| 1891392759 | Health Solutions | Clinic/Center | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-10-05 |
| 1366049322 | Lisa Frazier | Social Worker | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-10-02 |
| 1851907802 | Alexis Cordova | Case Manager/Care Coordinator | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-09-16 |
| 1801402789 | Katrina Long | Counselor | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285879130 | Kristine Rasmussen Dangremond | Psychiatry & Neurology | 2950 Professional Place Suite 115, Pueblo, CO 81004 | 2008-12-06 |
| 1588275929 | Diana Smith Psychiatric Mental Health Nurse Practitioner LLC | Psychiatry & Neurology | 417 W 13th St, Pueblo, CO 81003-2703 | 2020-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1023544277 | Paula Riggs | Psychiatry & Neurology | 12469 East 17th Place, Building 400, Aurora, CO 80045 | 2017-05-10 |
| 1205254182 | Elizabeth Fenstermacher | Psychiatry & Neurology | 777 Bannock St Dept Of, Denver, CO 80204-4507 | 2014-03-28 |
| 1467725333 | Gordon King Farley | Psychiatry & Neurology | 12015 E 46th Ave Ste 500, Denver, CO 80239-3133 | 2012-02-22 |
| 1669759510 | Foster Winfield Cline Jr. | Psychiatry & Neurology | 5910 S Jellison St, Littleton, CO 80123-3526 | 2011-11-07 |
| 1548490287 | Jadon Ray Webb | Psychiatry & Neurology | 26 W Dry Creek Cir Ste 710, Littleton, CO 80120-8065 | 2009-07-15 |
| 1356500292 | Susan Mary Vanscoyk-simon | Psychiatry & Neurology | 1616 17th Street Suite 578, Denver, CO 80202 | 2008-06-05 |
| 1316113947 | Elaine Ann Sandler | Psychiatry & Neurology | 30772 Southview Dr Ste 150, Evergreen, CO 80439-2216 | 2008-05-04 |
| 1114118742 | Adam S Burstein | Psychiatry & Neurology | 1731 E 16th Ave, Denver, CO 80218-1628 | 2007-08-08 |
| 1487859757 | Marcy Cooper | Psychiatry & Neurology | 1314 Main St Unit 204, Louisville, CO 80027-1586 | 2007-06-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOSE DANIEL MARTINEZ-GAMBA.
| 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.