MRS. AMANDA WILLIAMS GUMBERT P.A.
NPI 1891723870
Physician Assistant - Surgical in San Diego, CA

Q: What is Amanda Gumbert's NPI number?

The NPI number for Amanda Gumbert is 1891723870. It was assigned to this individual provider in the NPPES registry on June 29, 2006. The provider is also known as Miss Amanda Kristine Williams P.A.

Q: What is Amanda Gumbert's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Gumbert was last updated on February 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment

6645 ALVARADO RD, SUITE# 4000, SAN DIEGO, CA 92120(619) 810-1010(619) 810-1011 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Amanda Williams Gumbert P.a. NPPES

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

MRS. AMANDA WILLIAMS GUMBERT P.A. (NPI 1891723870) is an individual surgical provider in San Diego, California, licensed in California (PA18153) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1891723870

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. AMANDA WILLIAMS GUMBERTCredential: P.A.

Location Address6645 ALVARADO RD, SUITE# 4000San Diego, CA 92120-5208

Mailing Address6645 Alvarado Rd, Suite# 4000San Diego, CA 92120-5208 · (619) 810-1010 · Fax (619) 810-1011

Phone(619) 810-1010

Fax(619) 810-1011

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 29, 2006

Last NPPES UpdateFebruary 11, 2015

✔ NPI 1891723870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA18153

6645 ALVARADO RD, San Diego, CA 92120

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Other Names 1

Former Name (1)Miss Amanda Kristine Williams P.a

Other Identifiers 2

Medicare ID-Type UnspecifiedWPA18153ACA

MedicaidPA18153CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amanda Williams Gumbert P.a. 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 ID9133137565

PECOS Enrollment IDI20060327000915

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.

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.

JOANNE MANALO PA-C

Physician Assistant

6645 ALVARADO RD, S#4000
SAN DIEGO, CA 92120

San Diego County (619) 229-4901

DR. LANCE ROBERT STONE D.O.

Physical Medicine & Rehabilitation

6645 ALVARADO RD
SAN DIEGO, CA 92120

San Diego County (619) 326-0128

ANDRE GALLARES PA-C

Physician Assistant (Surgical)

6645 ALVARADO RD, SUITE 4000
SAN DIEGO, CA 92120

San Diego County (619) 229-4901

SAN DIEGO REGIONAL HEAD & NECK CENTER

Otolaryngology (Otology & Neurotology)

6645 ALVARADO RD, STE 4000
SAN DIEGO, CA 92120

San Diego County (619) 229-7100

ALVARADOHOSPITAL, LLC

Skilled Nursing Facility

6645 ALVARADO RD
SAN DIEGO, CA 92120

San Diego County (619) 229-3172

BRYNA ELIZABETH FLORENCE PHYSICIAN ASSISTANT

Physician Assistant (Medical)

6645 ALVARADO RD, SUITE 415
SAN DIEGO, CA 92120

San Diego County (619) 261-9000

SANJAY GHOSH M.D.

Neurological Surgery

6645 ALVARADO RD, SUITE# 4000
SAN DIEGO, CA 92120

San Diego County (619) 229-3105

BRIGITTE KORKUCH PA-C

Physician Assistant

6645 ALVARADO RD, STE 415
SAN DIEGO, CA 92120

San Diego County (619) 229-4941

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 Amanda Gumbert's NPI number?

The NPI number for Amanda Gumbert is 1891723870. It was assigned to this individual provider in the NPPES registry on June 29, 2006. The provider is also known as Miss Amanda Kristine Williams P.A.

Where is Amanda Gumbert located?

Amanda Gumbert practices at 6645 Alvarado Rd Suite# 4000, San Diego, CA 92120. The listed phone number is (619) 810-1010.

What is Amanda Gumbert's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Amanda Gumbert enrolled in Medicare?

Yes. Amanda Gumbert 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.

When was this NPI record last updated?

The NPPES record for Amanda Gumbert was last updated on February 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.