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MR. KYLE MARTIN GAMBILL
NPI 1730054883
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since October 08, 2025PECOS Enrolled
2560 NORTHSIDE DR APT 212, SAN DIEGO, CA 92108(760) 985-7397 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kyle Martin Gambill NPPES

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

MR. KYLE MARTIN GAMBILL (NPI 1730054883) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95037201) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730054883
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. KYLE MARTIN GAMBILL
Location Address2560 NORTHSIDE DR APT 212San Diego, CA 92108-6759
Mailing Address2560 Northside Dr Apt 212San Diego, CA 92108-6759 · (760) 985-7397
Phone(760) 985-7397
Sole ProprietorYes
Enumeration DateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1730054883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95037201
2560 NORTHSIDE DR APT 212, San Diego, CA 92108
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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 (PECOS)

Mr. Kyle Martin Gambill is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92108 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Kyle Gambill's NPI number?

The NPI number for Kyle Gambill is 1730054883. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Kyle Gambill located?

Kyle Gambill practices at 2560 Northside Dr Apt 212, San Diego, CA 92108. The listed phone number is (760) 985-7397.

What is Kyle Gambill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kyle Gambill enrolled in Medicare?

Yes. Kyle Gambill is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Gambill was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.