SANDRA GOMEZ (NPI# 1093268500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093268500 |
Entity Type | Individual |
Full Name | SANDRA GOMEZ |
Practice Address |
306 Spruce Ave South San Francisco CA 94080-2741 |
Mailing Address |
15 Pacific Ave San Bruno CA 94066-1523 |
Practice Telephone | 6505899305 |
Mailing Telephone | 4155734254 |
Enumeration Date | 2016-08-01 |
Last Update Date | 2016-08-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
410023AN | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942828108 | Sandra Liliana Gomez | Occupational Therapist | 175 Huguenot St Ph 602, New Rochelle, NY 10801-7767 | 2020-07-13 |
1922651413 | Sandra De Las Mercedes Gomez | Technician | 6259 Silverfield Dr, Las Vegas, NV 89103-4536 | 2019-07-23 |
1134603681 | Sandra Julieth Gomez | Behavior Technician | 2865 Sw 16th Street Apt 1, Fort Lauderdale, FL 33321 | 2018-09-20 |
1437591054 | Sandra Gomez | Specialist/Technologist | 10626 Roseton Ave, Santa Fe Springs, CA 90670-4213 | 2013-07-24 |
1437422110 | Sandra Gomez | Case Manager/Care Coordinator | 679 S. New Hampshire Ave. Ste. 350, Los Angeles, CA 90005-1355 | 2012-02-10 |
1568768869 | Sandra Gomez | Chiropractor | 6075 Sw 72nd St, Suite 203, South Miami, FL 33143-5000 | 2011-02-03 |
1710291778 | Sandra Gomez | Early Intervention Provider Agency | 475 Riverside Drive, Suite 730, New York, NY 10115-0797 | 2010-08-02 |
1326163114 | Sandra P. Gomez | Dentist | 1740 E Commercial Blvd, Fort Lauderdale, FL 33334 | 2007-03-20 |
1265058663 | Sandra K. Gomez | Physical Therapist | 7109 N Bartlett Ave Ste 109, Laredo, TX 78041-6473 | 2020-06-22 |
1497219604 | Sandra Yanira Gomez | Dental Assistant | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2019-01-22 |
Street Address |
306 SPRUCE AVE |
City | SOUTH SAN FRANCISCO |
State | CA |
Zip Code | 94080-2741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609812148 | County of San Mateo | Clinic/Center | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2006-06-22 |
1831799972 | Derrick Martin Jr. | Rehabilitation Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2020-10-28 |
1124635925 | Jenny Punzalan Jover | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2020-09-25 |
1861968323 | Vicken Harout Balian | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2018-10-22 |
1457885428 | Cyndy Sweet | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2017-04-17 |
1679007876 | Charles Tyson | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2017-04-13 |
1245781798 | Jimmy Yang Liang | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2016-10-19 |
1285044628 | Joseph A. Wagenhofer | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2014-05-07 |
1154753861 | Jaime Hernandez | Community/Behavioral Health | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2013-08-05 |
1245582618 | Debbie Madden | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2012-10-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
Find all providers in zip 94080 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457659286 | Lorena M Cherpan | Counselor | 307 Spruce Ave., South San Francisco, CA 94080 | 2011-03-02 |
1528369022 | Marvin Enrique Saavedra | Counselor | 636 El Camino Real # 313b, South San Francisco, CA 94080-4446 | 2010-11-15 |
1184856718 | Leonard Paul Baros Sr. | Counselor | 2657 Wexford Ave, South San Francisco, CA 94080-5579 | 2009-08-16 |
1003016189 | Argentina Sinclair | Counselor | 301 Grand Ave, South San Francisco, CA 94080-3608 | 2007-07-18 |
1598801201 | Camilo Gonzalez | Counselor | 301 Grand Ave Ste 301, South San Francisco, CA 94080-3641 | 2007-01-29 |
1124635925 | Jenny Punzalan Jover | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2020-09-25 |
1861968323 | Vicken Harout Balian | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2018-10-22 |
1447760806 | Janesses Moreno | Counselor | 301 Grand Ave, South San Francisco, CA 94080-3606 | 2017-10-11 |
1457885428 | Cyndy Sweet | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2017-04-17 |
1679007876 | Charles Tyson | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2017-04-13 |
Find all providers in SOUTH SAN FRANCISCO |
City | SOUTH SAN FRANCISCO |
Zip Code | 94080 |
Please comment or provide details below to improve the information on SANDRA GOMEZ.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.