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JACOB GORHAM
NPI 1407671282
Student in an Organized Health Care Education/Training Program in Camarillo, CA

Active since November 18, 2024
1722 S LEWIS RD, CAMARILLO, CA 93012(805) 366-4040 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Gorham NPPES

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

JACOB GORHAM (NPI 1407671282) is an individual student in an organized health care education/training program in Camarillo, California and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1407671282
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB GORHAM
Location Address1722 S LEWIS RDCamarillo, CA 93012-8520
Mailing Address120 Cremona Dr Ste 220Goleta, CA 93117-3172
Phone(805) 366-4040
Sole ProprietorNo
Enumeration DateNovember 18, 2024
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1407671282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1722 S LEWIS RD, Camarillo, CA 93012
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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.

CHRIS MARTINEZ
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Ventura County (805) 455-4800
DR. LAUREN RUTH ARMSTRONG PSY.D.
Psychologist
1722 S LEWIS RD
CAMARILLO, CA 93012
Ventura County (805) 366-4040
AMELIA GUADALUPE NUNO
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Ventura County (805) 366-4040
CHLOE J MCCULLEN
Community Health Worker
1722 S LEWIS RD
CAMARILLO, CA 93012
Ventura County (805) 366-4040
BERTHA GUERRERO
Licensed Vocational Nurse
1722 S LEWIS RD
CAMARILLO, CA 93012
Ventura County (805) 445-7800
MR. WAYNE HARRISON JACKSON
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Ventura County (805) 928-8622
FELISA JILL SCHNEIDER
Counselor (Mental Health)
1722 S LEWIS RD
CAMARILLO, CA 93012
Ventura County (805) 445-7800
DAISY ABIGAIL GARCIA
Marriage & Family Therapist
1722 S LEWIS RD
CAMARILLO, CA 93012
Ventura County (805) 366-4040

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 Jacob Gorham's NPI number?

The NPI number for Jacob Gorham is 1407671282. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Where is Jacob Gorham located?

Jacob Gorham practices at 1722 S Lewis Rd, Camarillo, CA 93012. The listed phone number is (805) 366-4040.

What is Jacob Gorham'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 Jacob Gorham was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.