ETHEL GUMBAN
NPI 1073404208
Assisted Living Facility in San Bruno, CA

Q: What is Ethel Gumban's NPI number?

The NPI number for Ethel Gumban is 1073404208. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Q: What is Ethel Gumban's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Ethel Gumban was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 15, 2025

2700 OAKMONT DR, SAN BRUNO, CA 94066(650) 583-3496 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ethel Gumban NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHEL GUMBAN (NPI 1073404208) is an individual assisted living facility provider in San Bruno, California, licensed in California (415600425) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1073404208

Entity TypeIndividualFemale

Primary Taxonomy310400000X

Provider Legal NameETHEL GUMBAN

Location Address2700 OAKMONT DRSan Bruno, CA 94066-1241

Mailing Address2700 Oakmont DrSan Bruno, CA 94066-1241 · (650) 583-3496

Phone(650) 583-3496

Sole ProprietorYes

Enumeration DateJuly 15, 2025

NPPES CertifiedJuly 14, 2025

✔ NPI 1073404208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in CA · 415600425

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2700 OAKMONT DR, San Bruno, CA 94066

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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 Ethel Gumban's NPI number?

The NPI number for Ethel Gumban is 1073404208. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Where is Ethel Gumban located?

Ethel Gumban practices at 2700 Oakmont Dr, San Bruno, CA 94066. The listed phone number is (650) 583-3496.

What is Ethel Gumban's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Ethel Gumban was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.