JUAN G. GAMBOA MD
NPI 1336297209
Internal Medicine in Baldwin Park, CA

Q: What is Juan Gamboa's NPI number?

The NPI number for Juan Gamboa is 1336297209. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Juan Gamboa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Gamboa was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 08, 2007PECOS EnrolledAccepts Medicare Assignment

1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706(626) 851-1011 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Juan G. Gamboa Md NPPES

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

JUAN G. GAMBOA MD (NPI 1336297209) is an individual internal medicine provider in Baldwin Park, California, licensed in California (A61925) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1995).

NPPES Registry Identity

NPI1336297209

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJUAN G. GAMBOACredential: MD

Location Address1011 BALDWIN PARK BLVDBaldwin Park, CA 91706-5806

Mailing Address1011 Baldwin Park BlvdBaldwin Park, CA 91706-5806 · (626) 851-1011

Phone(626) 851-1011

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1995

Enumeration DateJanuary 8, 2007

Last NPPES UpdateDecember 1, 2021

✔ NPI 1336297209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A61925

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1011 BALDWIN PARK BLVD, Baldwin Park, CA 91706

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan G. Gamboa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971632712

PECOS Enrollment IDI20100603000615

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 91706 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$61.89 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$29.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BRETT ALLEN PROVENCE D.O.

Hospitalist

1011 BALDWIN PARK BLVD, 4 EAST HOSPITALIST OFFICE
BALDWIN PARK, CA 91706

Los Angeles County (626) 851-1011

VERONICA CHIU TSANG RRT

Respiratory Therapist, Registered