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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA-RENEE GAMBOA M.D.
NPI 1104188192
Family Medicine in Jbsa Randolph, TX

Active since June 14, 2012PECOS Enrolled
221 3RD ST W, JBSA RANDOLPH, TX 78150(210) 652-8544 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, Jul 20, 2021, Apr 23, 2018 (3 updates tracked since 2018).

About Jessica-renee Gamboa M.d. NPPES

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

JESSICA-RENEE GAMBOA M.D. (NPI 1104188192) is an individual family medicine provider in Jbsa Randolph, Texas, licensed in Texas (R3326) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104188192
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJESSICA-RENEE GAMBOACredential: M.D.
Location Address221 3RD ST WJbsa Randolph, TX 78150-4800
Mailing Address221 3rd St WJbsa Randolph, TX 78150-4800 · (210) 652-8544
Phone(210) 652-8544
Sole ProprietorYes
Enumeration DateJune 14, 2012
Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1104188192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · R3326
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
221 3RD ST W, Jbsa Randolph, TX 78150
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica-renee Gamboa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CATHERINE EMILY BIERSACK M.D.
Pediatrics
221 3RD ST W
RANDOLPH A F B, TX 78150
Bexar County (210) 652-9626
MRS. KATHY LYNN HAGERMAN CPNP
Nurse Practitioner (Pediatrics)
221 3RD ST W
RANDOLPH AFB, TX 78150
Bexar County (210) 652-2543
DR. JOHN JAMES MCDONALD DDS
Dentist (General Practice)
221 3RD ST W
RANDOLPH A F B, TX 78150
Bexar County (210) 652-1846
HEATHER FENZL PHARM D
Pharmacist
221 3RD ST W
RANDOLPH AFB, TX 78150
Bexar County (210) 652-4127
CASSANDRA JANE GILBERT MSW
Social Worker
221 3RD ST W
JBSA RANDOLPH, TX 78150
Bexar County (210) 397-2992
MS. ROCIO FABIOLA RODRIGUEZ LCSW
Social Worker (Clinical)
221 3RD ST W
RANDOLPH AFB, TX 78150
Bexar County (210) 792-1882
ADRIENNE N FIELDS ACNP-BC
Nurse Practitioner (Acute Care)
221 3RD ST W
RANDOLPH AFB, TX 78150
Bexar County (210) 563-2210
ZELWYN ZADIEL FIGUEROA BRAVO PA-C
Physician Assistant
221 3RD ST W
RANDOLPH AFB, TX 78150
Bexar County (210) 652-6550

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 Jessica-renee Gamboa's NPI number?

The NPI number for Jessica-renee Gamboa is 1104188192. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Jessica-renee Gamboa located?

Jessica-renee Gamboa practices at 221 3rd St W, Jbsa Randolph, TX 78150. The listed phone number is (210) 652-8544.

What is Jessica-renee Gamboa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jessica-renee Gamboa enrolled in Medicare?

Yes. Jessica-renee Gamboa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica-renee Gamboa was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.