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

Mrs. Amanda Williams Gumbert, PA

Individual provider Surgical Physician Assistant · NPI 1891723870

Mrs. Amanda Williams Gumbert, PA is a Physician Assistant in San Diego, California. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6645 Alvarado Rd Suite# 4000
San Diego, CA 92120-5208
Phone: (619) 810-1010
Fax: (619) 810-1011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA18153 (CA)

Record details

NPI number1891723870
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESFebruary 11, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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