JASMINE MARIE GAMBOA MD
NPI 1003609629
Student in an Organized Health Care Education/Training Program in Tyler, TX
About Jasmine Marie Gamboa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASMINE MARIE GAMBOA MD (NPI 1003609629) is an individual student in an organized health care education/training program in Tyler, Texas and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jasmine Marie Gamboa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYLER, TX 75708
TYLER, TX 75708
TYLER, TX 75708
TYLER, TX 75708
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jasmine Gamboa's NPI number?
The NPI number for Jasmine Gamboa is 1003609629. It was assigned to this individual provider in the NPPES registry on May 27, 2025.
Where is Jasmine Gamboa located?
Jasmine Gamboa practices at 11937 Us Highway 271, Tyler, TX 75708. The listed phone number is (903) 877-7200.
What is Jasmine Gamboa's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jasmine Gamboa enrolled in Medicare?
Yes. Jasmine Gamboa is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jasmine Gamboa was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jasmine Marie Gamboa, MD · NPI 1003609629
Student in an Organized Health Care Education/Training Program provider in Tyler, Texas. Individual provider, active in the CMS NPPES registry since May 27, 2025.
## Identity
- **NPI:** 1003609629 (Entity type: Individual)
- **Enumerated:** May 27, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 11937 US HIGHWAY 271, Tyler, TX 75708-3154
- **Phone:** (903) 877-7200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 27, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1003609629) · Data from the CMS NPPES public registry.