VANESSA TAGATAC GAMBALA NP NPI 1508263815

NPI Information

NPI: 1508263815
Provider Name: VANESSA TAGATAC GAMBALA, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
11230 SORRENTO VALLEY RD
SUITE 120
SAN DIEGO, CA
ZIP 92121
Phone: (858) 546-7600
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Vanessa Tagatac Gambala, NP is an adult health nurse practitioner in San Diego, CA. Vanessa Tagatac Gambala, NP NPI is 1508263815. 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:

11230 SORRENTO VALLEY RD
SUITE 120
SAN DIEGO, CA
ZIP 92121-332
Phone: (858) 546-7600
Fax: (858) 408-4281

The enumeration date for this NPI number is 12/2/2014 and was last updated on 12/2/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		584220	CALIFORNIA	No
2	363L00000X	Nurse Practitioner		95000947	CALIFORNIA	No
3	363LA2200X	Nurse Practitioner	Adult Health	95000947	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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