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MR. YONATHAN GAMBOA
NPI 1336736750
Clinic/Center - Dental in Stockton, CA

Active since December 31, 2020
966 W MARIPOSA AVE, STOCKTON, CA 95204(209) 643-9420 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Yonathan Gamboa NPPES

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

MR. YONATHAN GAMBOA (NPI 1336736750) is an individual dental provider in Stockton, California and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1336736750
Entity TypeIndividualMale
Primary Taxonomy261QD0000X
Provider Legal NameMR. YONATHAN GAMBOA
Location Address966 W MARIPOSA AVEStockton, CA 95204-3017
Mailing Address966 W Mariposa AveStockton, CA 95204-3017 · (209) 643-9420
Phone(209) 643-9420
Sole ProprietorYes
Enumeration DateDecember 31, 2020
NPPES CertifiedDecember 31, 2020
✔ NPI 1336736750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
966 W MARIPOSA AVE, Stockton, CA 95204
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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 Yonathan Gamboa's NPI number?

The NPI number for Yonathan Gamboa is 1336736750. It was assigned to this individual provider in the NPPES registry on December 31, 2020.

Where is Yonathan Gamboa located?

Yonathan Gamboa practices at 966 W Mariposa Ave, Stockton, CA 95204. The listed phone number is (209) 643-9420.

What is Yonathan Gamboa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Yonathan Gamboa was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.