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BOXIDARA, INC.
NPI 1811289317
Emergency Medicine - Undersea and Hyperbaric Medicine in Palmdale, CA

Active since May 03, 2011
38660 MEDICAL CENTER DR STE A150, C/O PALMDALE MED. CTR. WOUND CARE CLINIC, PALMDALE, CA 93551(818) 709-8161(818) 709-8160 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Boxidara, Inc. NPPES

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

BOXIDARA, INC. (NPI 1811289317) is a healthcare organization registered as an undersea and hyperbaric medicine in Palmdale, California and active in the NPI registry since May 2011. The organization lists John S Gambol, President, as its authorized official.

NPPES Registry Identity

NPI1811289317
Entity TypeOrganization
Primary Taxonomy207PE0005X
Legal Business NameBOXIDARA, INC.
Location Address38660 MEDICAL CENTER DR STE A150, C/O PALMDALE MED. CTR. WOUND CARE CLINICPalmdale, CA 93551-4385
Mailing AddressPo Box 9126Canoga Park, CA 91309-0126 · (818) 709-8161 · Fax (818) 709-8160
Phone(818) 709-8161
Fax(818) 709-8160
Organization SubpartNo
Authorized OfficialJohn S GambolPresident · (818) 709-8161
Enumeration DateMay 3, 2011
Last NPPES UpdateJune 20, 2018
✔ NPI 1811289317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PE0005X
License✔ Licensed in CA · G67090
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
38660 MEDICAL CENTER DR STE A150, Palmdale, CA 93551
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boxidara, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20110607000222Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Boxidara, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

John Gambol, M.D.
Emergency Medicine
NPI 1255339826
1041 E YORBA LINDA BLVD STE 203
Placentia, CA 92870
(818) 709-8161
✔ PECOS✔ Accepts Medicare51 mi

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

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 Boxidara, Inc.'s NPI number?

The NPI number for Boxidara, Inc. is 1811289317. It was assigned to this organization in the NPPES registry on May 3, 2011.

Where is Boxidara, Inc. located?

Boxidara, Inc. is located at 38660 Medical Center Dr Ste A150 C/O Palmdale Med. Ctr. Wound Care Clinic, Palmdale, CA 93551. The listed phone number is (818) 709-8161.

What is Boxidara, Inc.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

Is Boxidara, Inc. enrolled in Medicare?

Yes. Boxidara, Inc. is registered in the Medicare PECOS enrollment system.

When is Boxidara, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Boxidara, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Boxidara, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Boxidara, Inc. was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.