Jesus Gamboa, FNP

NPI: 1215179684

Jesus Gamboa, FNP

Q: What is Jesus Gamboa's NPI number?

Jesus Gamboa's NPI number is 1215179684, a unique 10-digit identifier issued by CMS.

Q: What does Jesus Gamboa specialize in?

Jesus Gamboa specializes in Nurse Practitioner, taxonomy code 363LF0000X.

Q: Where does Jesus Gamboa practice?

Jesus Gamboa practices in Yucca Valley, CA 92284.

Q: When was Jesus Gamboa's NPI issued?

Jesus Gamboa's NPI was issued on April 1, 2009.

Q: What is Jesus Gamboa's provider type?

Jesus Gamboa is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: April 1, 2009

Quick Facts

NPI Number

1215179684

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363LF0000X — Nurse Practitioner

Phone

(760) 774-2739

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1215179684)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (April 1, 2009)

Data source: CMS NPPES

Provider Overview

JESUS GAMBOA, FNP is a Nurse Practitioner provider based in Yucca Valley, CA who has been registered with CMS since 2009. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1215179684

Provider TypeIndividual Provider

GenderMale

CredentialFNP

StatusActive

Enumeration DateApril 1, 2009

Practice Location

CityYucca Valley

StateCA

ZIP Code92284

Phone(760) 774-2739

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363LF0000X

License StateCA

Mailing Address

CityYucca Valley

StateCA

ZIP Code92284

Phone(760) 774-2739

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1215179684 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1215179684for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1215179684 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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