JACQUELINE GAMBOA
NPI 1124971338
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since February 17, 2026
625 SHADOW LN, LAS VEGAS, NV 89106(702) 895-3011 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Gamboa NPPES

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

JACQUELINE GAMBOA (NPI 1124971338) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1124971338
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELINE GAMBOA
Location Address625 SHADOW LNLas Vegas, NV 89106-4118
Mailing Address1024 S Matthew WayAnaheim, CA 92808-1458 · (714) 271-4079
Sole ProprietorNo
Enumeration DateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
NPI 1124971338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

625 SHADOW LN, Las Vegas, NV 89106

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.

Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
625 SHADOW LN
LAS VEGAS, NV 89106

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 Jacqueline Gamboa's NPI number?

The NPI number for Jacqueline Gamboa is 1124971338. It was assigned to this individual provider in the NPPES registry on February 17, 2026.

Where is Jacqueline Gamboa located?

Jacqueline Gamboa practices at 625 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 895-3011.

What is Jacqueline Gamboa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Gamboa was last updated on February 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.