BRYANT GAMBOA DNP NPI 1679193163

NPI Information

NPI: 1679193163
Provider Name: BRYANT GAMBOA, DNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
11262 CAMPUS STREET
WEST HALL L
LOMA LINDA, CA
ZIP 92350
Phone: (909) 558-4923
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Bryant Gamboa, DNP is a pediatrics nurse practitioner in Loma Linda, CA. Bryant Gamboa, DNP NPI is 1679193163. 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:

11262 CAMPUS STREET
WEST HALL L
LOMA LINDA, CA
ZIP 92350
Phone: (909) 558-4923

The enumeration date for this NPI number is 4/24/2020 and was last updated on 3/14/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	363LP0200X	Nurse Practitioner	Pediatrics	95018800	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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