JOE E GOMEZ (NPI# 1164757928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164757928 |
| Entity Type | Individual |
| Full Name | JOE E GOMEZ |
| Practice Address |
12450 Van Nuys Blvd Suite 201 Pacoima CA 91331-1391 |
| Mailing Address |
210 South Delacey Ave. Suite 100 Pasadena CA 91105-2074 |
| Practice Telephone | 8182879131 |
| Mailing Telephone | 6263957100 |
| Mailing Fax Number | 6263957270 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2015-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013147032 | Joe Dian Gomez | Military Health Care Provider | Det 1 18 Fss Okuma Unit 5135 Box 10, Apo, AP 96368-5135 | 2009-07-24 |
| Street Address |
12450 VAN NUYS BLVD SUITE 201 |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578506002 | Karl Bandyan | Psychiatry & Neurology | 12450 Van Nuys Blvd, 200, Pacoima, CA 91331-1391 | 2006-06-13 |
| 1912408857 | Sarah Sluder | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Pacoima, CA 91331-1391 | 2018-02-26 |
| 1043738370 | Sam Mavis | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd, Pacoima, CA 91331-1391 | 2017-09-07 |
| 1215467832 | Marcus Johnson | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 | 2017-06-15 |
| 1982139515 | Donna Brown | Licensed Vocational Nurse | 12450 Van Nuys Blvd, 200, Pacoima, CA 91331-1391 | 2017-04-20 |
| 1114468931 | Sharron Gilmore | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, 200, Pacoima, CA 91331-1391 | 2017-03-13 |
| 1629519632 | Mayra Sandoval | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 | 2017-03-10 |
| 1336689959 | Shalmar Neal | Marriage & Family Therapist | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 | 2017-03-01 |
| 1275070542 | Veronica R Raniwala | Social Worker | 12450 Van Nuys Blvd, Pacoima, CA 91331 | 2017-01-25 |
| 1699212225 | Consuelo Macias | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 | 2017-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093247108 | Sofia Cardenas | Rehabilitation Practitioner | 11960 Bromont Ave, Pacoima, CA 91331-1007 | 2017-03-28 |
| 1225407190 | Diana Valladares | Rehabilitation Practitioner | 12332 Osborne Pl Apt 17, Pacoima, CA 91331-2084 | 2015-09-21 |
| 1013288265 | Janet Rico | Rehabilitation Practitioner | 12510 Van Nuys Blvd Ste 100, Pacoima, CA 91331-1338 | 2012-01-19 |
| 1164755641 | Maritza Flores | Rehabilitation Practitioner | 12450 Van Nuys Blvd Ste 101, Pacoima, CA 91331-1391 | 2009-09-15 |
| 1902139686 | Benjamin Sahagun | Rehabilitation Practitioner | 12510 Van Nuys Blvd Ste 209, Pacoima, CA 91331-1350 | 2009-09-11 |
| 1144409897 | Hilary Aberle | Rehabilitation Practitioner | 12450 Van Nuys Blvd Ste 201, Pacoima, CA 91331-1391 | 2007-10-30 |
| 1730202748 | Justin Hilliard Parkinson | Rehabilitation Practitioner | 12510 Van Nuys Blvd Ste. 207, Pacoima, CA 91331 | 2007-04-06 |
| 1689706558 | Heather J Dallas | Rehabilitation Practitioner | 12510 Van Nuys Blvd, Pacoima, CA 91331 | 2007-03-09 |
| 1083745236 | Kenia Sanchez De La Vega | Rehabilitation Practitioner | 12510 Van Nuys, 201, Pacoima, CA 91331 | 2007-03-08 |
| 1003947169 | Carol Anne Gore | Rehabilitation Practitioner | 12510 Van Nuys Blvd. #200, Pacoima, CA 91331 | 2007-03-08 |
| Find all providers in PACOIMA | ||||
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| 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.