MRS. GUADALUPE GAMBOA GONZALEZ PA-C
NPI 1700929650
Physician Assistant - Surgical in Los Angeles, CA
About Mrs. Guadalupe Gamboa Gonzalez Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. GUADALUPE GAMBOA GONZALEZ PA-C (NPI 1700929650) is an individual surgical provider in Los Angeles, California, licensed in California (PA13264) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Guadalupe Gamboa Gonzalez Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Guadalupe Gonzalez's NPI number?
The NPI number for Guadalupe Gonzalez is 1700929650. It was assigned to this individual provider in the NPPES registry on February 14, 2007.
Where is Guadalupe Gonzalez located?
Guadalupe Gonzalez practices at 1200 N State St Room 3000, Los Angeles, CA 90033. The listed phone number is (323) 409-2196.
What is Guadalupe Gonzalez's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Guadalupe Gonzalez enrolled in Medicare?
Yes. Guadalupe Gonzalez is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Guadalupe Gonzalez was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Guadalupe Gamboa Gonzalez, PA-C · NPI 1700929650
Surgical physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 14, 2007.
## Identity
- **NPI:** 1700929650 (Entity type: Individual)
- **Enumerated:** February 14, 2007
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA13264 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, ROOM 3000, Los Angeles, CA 90033-1029
- **Phone:** (323) 409-2196
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 11, 2015
- **Other identifiers:** Medicare UPIN E69105
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Source: [NPI Profile](https://npiprofile.com/npi/1700929650) · Data from the CMS NPPES public registry.