KENNETH JONAVIL P GAMBOA
NPI 1841013885
Licensed Psychiatric Technician in Vacaville, CA

Q: What is Kenneth Jonavil Gamboa's NPI number?

The NPI number for Kenneth Jonavil Gamboa is 1841013885. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Q: What is Kenneth Jonavil Gamboa's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Active since November 07, 2024

7110 STEIGER HILL RD, VACAVILLE, CA 95688(707) 656-6625 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth Jonavil P Gamboa NPPES

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

KENNETH JONAVIL P GAMBOA (NPI 1841013885) is an individual licensed psychiatric technician in Vacaville, California, licensed in California (40215) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1841013885

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameKENNETH JONAVIL P GAMBOA

Location Address7110 STEIGER HILL RDVacaville, CA 95688-9789

Mailing Address1806 Wood Duck CtAmerican Canyon, CA 94503-3125

Phone(707) 656-6625

Sole ProprietorYes

Enumeration DateNovember 7, 2024

NPPES CertifiedNovember 7, 2024

✔ NPI 1841013885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · 40215

Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License 21-155551 (CA)

7110 STEIGER HILL RD, Vacaville, CA 95688

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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 Kenneth Jonavil Gamboa's NPI number?

The NPI number for Kenneth Jonavil Gamboa is 1841013885. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Kenneth Jonavil Gamboa located?

Kenneth Jonavil Gamboa practices at 7110 Steiger Hill Rd, Vacaville, CA 95688. The listed phone number is (707) 656-6625.

What is Kenneth Jonavil Gamboa's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Jonavil Gamboa was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.