Ibarra Gambota Diangkinay, Nurse Practitioner
Nurse Practitioner, Adult Health in Hemet, CA. Individual provider (NPI-1).
NPI number1154785673
StatusActive
Last updated in NPPESApr 11, 2016
Details
- NPI
- 1154785673
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ibarra Gambota Diangkinay
- Credential
- Nurse Practitioner
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2016
- Last updated
- Apr 11, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 95004040 | CA | Yes |
Practice location
850 E Latham Ave Ste 201Hemet, CA 92543-4391
Phone 951-925-6657
Mailing address
850 E Latham Ave Ste 201Hemet, CA 92543-4391
Phone 951-925-6657
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Adult Health Nurse Practitioner providers in Hemet, CA
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