Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Requeijo-Gamboa Epc ACO LLC

Organization Internal Medicine Physician · NPI 1700460938

Requeijo-Gamboa Epc ACO LLC is an Internal Medicine Physician in Carson City, Nevada. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 Mountain St
Carson City, NV 89703-3848
Phone: (737) 226-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1700460938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Gamboa — Owner · (737) 226-6700
NPI enumeratedMay 12, 2021
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021
Mailing address3901a Spicewood Springs Rd Ste 201, Austin, TX 78759-8728

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