AMY GOMEZ (NPI# 1124572748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124572748 |
| Entity Type | Individual |
| Full Name | AMY GOMEZ |
| Other Name | AMY SUSAN LANDAVERDE |
| Practice Address |
566 S Brand Blvd San Fernando CA 91340-4002 |
| Mailing Address |
8176 Cantaloupe Ave Panorama City CA 91402-5411 |
| Practice Telephone | 8188980223 |
| Mailing Telephone | 3232527650 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801234521 | Amy Lyn Gomez | Registered Nurse | 1336 Allen St, Burton, MI 48529 | 2013-06-05 |
| 1750863841 | Amy E Gomez | Registered Nurse | 4321 Fir St, East Chicago, IN 46312-3049 | 2018-09-05 |
| Street Address |
566 S BRAND BLVD |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881724656 | Maria J Di Battista | Marriage & Family Therapist | 566 S Brand Blvd, San Fernando, CA 91340 | 2007-03-07 |
| 1104426071 | Daisy Melendez | Counselor | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-10-29 |
| 1770198368 | Laura Angelica Galvan | Case Manager/Care Coordinator | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-09-10 |
| 1194338293 | Alexis Saray Ayon Cabrera | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-08-28 |
| 1184237364 | Estefany Espinoza | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-08-26 |
| 1811513716 | Nooshin Vegh | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-06-17 |
| 1740818616 | Linda Lucero Martinez | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-03-27 |
| 1043850944 | Viviana Hernandez | Counselor | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-01-09 |
| 1013560028 | Carolina Ramos | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2019-07-18 |
| 1942866777 | Vivian Rose Garrison | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2019-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253043 | Sarah Hajar Darwish | Student in an Organized Health Care Education/Training Program | 919 1st St, San Fernando, CA 91340-2957 | 2020-10-23 |
| 1780281733 | Chelsea Tarryn Argue | Student in an Organized Health Care Education/Training Program | 919 1st St, San Fernando, CA 91340-2957 | 2020-10-02 |
| 1154928190 | Gabrielle Weininger | Student in an Organized Health Care Education/Training Program | 919 1st St, San Fernando, CA 91340-2957 | 2020-10-02 |
| 1194338293 | Alexis Saray Ayon Cabrera | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-08-28 |
| 1184237364 | Estefany Espinoza | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-08-26 |
| 1033722384 | Osvaldo Bastida | Student in an Organized Health Care Education/Training Program | 919 1st St, San Fernando, CA 91340-2957 | 2020-08-26 |
| 1811513716 | Nooshin Vegh | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-06-17 |
| 1740818616 | Linda Lucero Martinez | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-03-27 |
| 1922654268 | Sona Khachikyan | Student in an Organized Health Care Education/Training Program | 919 1st St, San Fernando, CA 91340-2957 | 2019-08-13 |
| 1659927994 | Yeva Ghrjyan | Student in an Organized Health Care Education/Training Program | 919 1st St, San Fernando, CA 91340-2957 | 2019-08-13 |
| Find all providers in SAN FERNANDO | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
Please comment or provide details below to improve the information on AMY 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.