DR. LARRY KYLE GAMBRELL D.O. NPI 1275621963

NPI Information

  • NPI: 1275621963
  • Provider Name: DR. LARRY KYLE GAMBRELL, D.O.
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6880 PALM AVENUE
    SEBASTOPOL, CA
    ZIP 95472
  • Phone: (707) 823-7628

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NPI Details

DR. Larry Kyle Gambrell, D.O. is an otolaryngology/facial plastic surgery otolaryngology in Sebastopol, CA with 24 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DR. Larry Kyle Gambrell, D.O. NPI is 1275621963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2001

The provider's business location address is:

6880 PALM AVENUE
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 823-7628
Fax: (707) 823-1521

The NPI 1275621963 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for multiple injections of allergen (HCPCS:95117)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • Test for eardrum and muscle function (HCPCS:92550)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Removal of impacted ear wax (HCPCS:69210)
  • Test to assess middle ear function (HCPCS:92567)
  • Ct scan of face without contrast (HCPCS:70486)

The enumeration date for this NPI number is 10/10/2006 and was last updated on 3/3/2015.

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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery20A9837CALIFORNIAYes

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
1CA107813OTHERCALIFORNIAMEDICARE

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: 3/30/2025

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