OrganizationActive
Loyal Source Government Services
NPI 1487053864 · Health Maintenance Organization · Orlando, FL
Provider details
- NPI number
- 1487053864
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Vanessa Gambala, Msn, Fnp-C(619) 301-9112
- License
- 95000947 (CA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3680 Avalon Park East Blvd Ste 310
Orlando, FL 32828-9374
Phone: (407) 381-7734
Street-level locationGet directions
Mailing address
900 Rigley St
Chula Vista, CA 91911-7003
Other names (DBA / former)
- Doing business as
- Loyal Source Government Services
Registry dates
- Enumerated
- 2014-08-21
- Last updated
- 2014-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.