DR. EDGAR GAMBOA MD
NPI 1265508980
Surgery in Freedom, CA

Q: What is Edgar Gamboa's NPI number?

The NPI number for Edgar Gamboa is 1265508980. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Q: What is Edgar Gamboa's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Gamboa was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 November 27, 2006PECOS Enrolled

83.97/100

CMS Quality Rating

243 GREEN VALLEY RD, STE. D, FREEDOM, CA 95019(831) 724-7874(831) 724-4339 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 29, 2019, May 18, 2016 (2 updates tracked since 2016).

On this page

About Dr. Edgar Gamboa Md NPPES

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

DR. EDGAR GAMBOA MD (NPI 1265508980) is an individual surgery provider in Freedom, California, licensed in California (C41857) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265508980

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. EDGAR GAMBOACredential: MD

Location Address243 GREEN VALLEY RD, STE. DFreedom, CA 95019-3133

Mailing Address576 Hartnell St, Ste 200Monterey, CA 93940-2834 · (831) 324-0176

Phone(831) 724-7874

Fax(831) 724-4339

Sole ProprietorYes

Enumeration DateNovember 27, 2006

Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration

✔ NPI 1265508980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · C41857

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

243 GREEN VALLEY RD, Freedom, CA 95019

Open in Google Maps ↗

Other Identifiers 1

Medicaid00C418570CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edgar Gamboa Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Edgar Gamboa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hazel Hawkins Memorial Hospital

22 mi

General Acute Care Hospital

911 SUNSET DR
Hollister, CA 95023

Reassigned Medicare billing, California enrollment
73 clinicians in this Medicare group

NPI 1275578817 (831) 637-5711

Uintah Basin Medical Center

678 mi

General Acute Care Hospital

250 W 300 N
Roosevelt, UT 84066

Reassigned Medicare billing, Utah enrollment
94 clinicians in this Medicare group

NPI 1871556217 (435) 722-6163

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95019 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$77.84 typical visit price

range $21.02 – $153.16

Typical copayment $19.46 (range $5.25 – $38.29)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.8

Promoting Interoperability

Improvement Activities

Cost

57.16

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDGAR A. GAMBOA, M.D. MEDICAL CORP

Surgery

243 GREEN VALLEY RD, STE. D
FREEDOM, CA 95019

Santa Cruz County (831) 724-7874

MARGARET KHOURI, M.D., P.C.

Internal Medicine (Gastroenterology)

243 GREEN VALLEY RD, SUITE C
FREEDOM, CA 95019

Santa Cruz County (831) 722-2700

DIGESTIVE CARE, LLC

Internal Medicine (Gastroenterology)

243 GREEN VALLEY RD, SUITE E
FREEDOM, CA 95019

Santa Cruz County (831) 728-1410

BARKER SEFTEL SPILMAN GEN PTRS

Otolaryngology (Otology & Neurotology)

243 GREEN VALLEY RD, B
FREEDOM, CA 95019

Santa Cruz County (831) 724-9449

MIGUEL VASQUEZ MD ANN CARROLL MD A PROF CORP

Internal Medicine

243 GREEN VALLEY RD, SUITE A
FREEDOM, CA 95019

Santa Cruz County (831) 728-4595

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 Edgar Gamboa's NPI number?

The NPI number for Edgar Gamboa is 1265508980. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Edgar Gamboa located?

Edgar Gamboa practices at 243 Green Valley Rd Ste. D, Freedom, CA 95019. The listed phone number is (831) 724-7874.

What is Edgar Gamboa's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Edgar Gamboa enrolled in Medicare?

Yes. Edgar Gamboa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edgar Gamboa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Gamboa reassigns Medicare benefits to 2 organizations: Hazel Hawkins Memorial Hospital (Hollister, CA) and Uintah Basin Medical Center (Roosevelt, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edgar Gamboa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edgar Gamboa was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.