JOSE C. GAMBOA, M.D., INC.
NPI 1639243769
Psychiatry & Neurology - Child & Adolescent Psychiatry in Anaheim, CA

NPI Status: Active since November 20, 2006

Contact Information

1020 S ANAHEIM BLVD
SUITE 214
ANAHEIM, CA
ZIP 92805
Phone: (714) 935-7684
Fax: (714) 776-0230

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  • Organization
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry

About JOSE C. GAMBOA, M.D., INC.

This page provides the complete NPI Profile along with additional information for Jose C. Gamboa, M.d., Inc., a provider established in Anaheim, California operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1639243769 assigned on November 2006. The practitioner's primary taxonomy code is 2084P0804X with license number A45291 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jose Caguiat Gamboa M.d. (President-c.e.o.)

NPI
1639243769
Provider Name
JOSE C. GAMBOA, M.D., INC.
Entity Type
Organization
Location Address
1020 S ANAHEIM BLVD SUITE 214 ANAHEIM, CA 92805
Location Phone
(714) 935-7684
Location Fax
(714) 776-0230
Mailing Address
PO BOX 6334 ANAHEIM, CA 92816
Mailing Phone
(714) 935-7684
Mailing Fax
(714) 776-0230
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2006
Last Update Date
07-30-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
A45291
License State
CA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSE CAGUIAT GAMBOA M.D.

Authorized Official Title
PRESIDENT-C.E.O.
Authorized Official Phone
(714) 935-7684

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========OTHER (01)CATAX IDENTIFICATION NUMBER
E49231MEDICARE UPIN (02)CA 
W19074MEDICARE ID-TYPE UNSPECIFIED (04)CAMEDICARE GROUP ID NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639243769
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669446712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 4 + 6 + 7 + 1 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639243769 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205861614DR. PRAVIN J KANSAGRA MD M.D.
Individual
Psychiatry & Neurology (Psychiatry)1020 S ANAHEIM BLVD SUITE 215
ANAHEIM, CA 92805
(714) 335-8570
1386656114 JOEY ARCADIO L SANTOS M.D.
Individual
Internal Medicine1020 S ANAHEIM BLVD STE 220
ANAHEIM, CA 92805
(714) 635-7127
1619100260ADVANCED RESEARCH CENTER, INC.
Organization
Psychologist (Clinical Child & Adolescent)1020 S ANAHEIM BLVD #316
ANAHEIM, CA 92805
(714) 999-6688
1689987521PRAVIN J KANSAGRA MD INC
Organization
Clinic/Center (Medical Specialty)1020 S ANAHEIM BLVD SUITE 215
ANAHEIM, CA 92805
(714) 335-8570
1245540475J.A.L. SANTOS M.D. INC
Organization
Clinic/Center1020 S ANAHEIM BLVD SUITE 220
ANAHEIM, CA 92805
(714) 635-7127
1235549262MI FAMILIA NURSING PC
Organization
Nurse Practitioner1020 S ANAHEIM BLVD SUITE 208
ANAHEIM, CA 92805
(714) 883-0408
1316331887SUNGHYE MED CORP
Organization
Psychiatric Residential Treatment Facility1020 S ANAHEIM BLVD SUITE 209
ANAHEIM, CA 92805
(714) 493-7258
1619355500ANAHEIM CARE PHARMACY INC
Organization
Pharmacy (Community/Retail Pharmacy)1020 S ANAHEIM BLVD SUITE 106
ANAHEIM, CA 92805
(714) 844-2592
1780709253BUM SOO LEE
Organization
Psychiatric Hospital1020 S ANAHEIM BLVD
ANAHEIM, CA 92805
(714) 270-0684
1841658291MS. NATALIE ANNE SWANN LCSW
Individual
Social Worker (Clinical)1020 S ANAHEIM BLVD SUITE 215
ANAHEIM, CA 92805
(949) 415-4553

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639243769, enumerated in the NPI registry as an "organization" on November 20, 2006

The provider is located at 1020 S Anaheim Blvd Suite 214 Anaheim, Ca 92805 and the phone number is (714) 935-7684

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.