BRYANT GAMBOA DNP
NPI 1679193163
Nurse Practitioner - Pediatrics in Loma Linda, CA

Active since April 24, 2020
11262 CAMPUS STREET, WEST HALL L, LOMA LINDA, CA 92350(909) 558-4923 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryant Gamboa Dnp NPPES

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

BRYANT GAMBOA DNP (NPI 1679193163) is an individual pediatrics provider in Loma Linda, California, licensed in California (95018800) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1679193163
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameBRYANT GAMBOACredential: DNP
Location Address11262 CAMPUS STREET, WEST HALL LLoma Linda, CA 92350
Mailing Address11262 Campus StLoma Linda, CA 92350-1727
Sole ProprietorNo
Enumeration DateApril 24, 2020
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
NPI 1679193163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 95018800
11262 CAMPUS STREET, Loma Linda, CA 92350

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
11262 CAMPUS STREET, WEST HALL
LOMA LINDA, CA 92350
Nurse Practitioner
11262 CAMPUS STREET, WEST HALL
LOMA LINDA, CA 92350
Pharmacist
11262 CAMPUS STREET, WEST HALL
LOMA LINDA, CA 92350

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 Bryant Gamboa's NPI number?

The NPI number for Bryant Gamboa is 1679193163. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Bryant Gamboa located?

Bryant Gamboa practices at 11262 Campus Street West Hall L, Loma Linda, CA 92350. The listed phone number is (909) 558-4923.

What is Bryant Gamboa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Bryant Gamboa was last updated on March 14, 2022. 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.