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

Active since October 08, 2025PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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 and is a graduate of Other (2025).

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
Medical School CMSOtherGraduated 2025
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kyle Martin Gambill is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628541323
PECOS Enrollment IDI20260624002926
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kyle Gambill reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carbon Medical Center
9.4 mi
Internal Medicine
9855 ERMA RD STE 133
San Diego, CA 92131
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1609678226 (760) 656-5523
Datnguyen MD Inc
9.4 mi
Internal Medicine
9855 ERMA RD STE 133
San Diego, CA 92131
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Datnguyen, M.D., Inc.
  • 42 clinicians in this Medicare group
NPI 1215977723 (760) 656-5523

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kyle Gambill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Gambill reassigns Medicare benefits to 2 organizations: Carbon Medical Center (San Diego, CA) and Datnguyen MD Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Gambill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 12 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.