MRS. AMANDA WILLIAMS GUMBERT P.A. NPI 1891723870

NPI Information

NPI: 1891723870
Provider Name: MRS. AMANDA WILLIAMS GUMBERT, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PACIFIC NEUROSURGERY AND SPINE MEDICAL GROUP INC

PECOS Registration: Yes

Address:
6645 ALVARADO RD
SUITE# 4000
SAN DIEGO, CA
ZIP 92120
Phone: (619) 810-1010
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MRS. Amanda Williams Gumbert, P.A. is a surgical physician assistant in San Diego, CA with 19 years of experience. MRS. Amanda Williams Gumbert, P.A. NPI is 1891723870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6645 ALVARADO RD
SUITE# 4000
SAN DIEGO, CA
ZIP 92120-208
Phone: (619) 810-1010
Fax: (619) 810-1011

The NPI 1891723870 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 6/29/2006 and was last updated on 2/11/2015.

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	363AS0400X	Physician Assistant	Surgical	PA18153	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WPA18153A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	PA18153	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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