IndividualActive
Luis Gamboa, M.D.
NPI 1699936062 · Pediatric Emergency Medicine (Emergency Medicine) Physician · Philadelphia, PA
Provider details
- NPI number
- 1699936062
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD450133 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-5030
Fax: (215) 707-3494
Street-level locationGet directions
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Registry dates
- Enumerated
- 2008-06-18
- Last updated
- 2018-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.