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ANTONIO GAMBOA M.D. NPI 1154356780


NPI Information

NPI: 1154356780
Provider Name: ANTONIO GAMBOA, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7000 NORTH MOPAC
#180
AUSTIN, TX
ZIP 78731
Phone: (512) 482-0045
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Antonio Gamboa, M.D. is an internal medicine in Austin, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Antonio Gamboa, M.D. NPI is 1154356780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7000 NORTH MOPAC
#180
AUSTIN, TX
ZIP 78731
Phone: (512) 482-0045
Fax: (512) 476-9892

The NPI 1154356780 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 8/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine33649ARIZONANo
2207R00000XInternal MedicineM7983TEXASYes
3208000000XPediatrics33649ARIZONANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1202793006MEDICAIDTEXAS
2202793007MEDICAIDTEXAS
3Z104292MEDICARE PINARIZONA
4308786YKXVMEDICARE PINTEXAS
5308786YKXYMEDICARE PINTEXAS
68L12459MEDICARE PINTEXAS
7TXB122059MEDICARE PINTEXAS
8I32662MEDICARE UPINARIZONA
9Z114088MEDICARE PINARIZONA
10Z122128MEDICARE PINARIZONA
11946999MEDICAIDARIZONA
12Z117028MEDICARE PINARIZONA
13Z117029MEDICARE PINARIZONA
14308786YLP1MEDICARE PINTEXAS
15202793004MEDICAIDTEXAS
16202793005MEDICAIDTEXAS
17308786YLP2MEDICARE PINTEXAS
18TXB122094MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.