PETRA G GOMEZ (NPI# 1174990188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174990188 |
| Entity Type | Individual |
| Full Name | PETRA G GOMEZ |
| Credential | NCPT, NCMA |
| Practice Address |
1300 Avenida Vista Hermosa Suite 100 San Clemente CA 92673-6315 |
| Mailing Address |
15 Calle De Las Sonatas Rancho Santa Margarita CA 92688-2886 |
| Practice Telephone | 9492183001 |
| Mailing Telephone | 9496325316 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477876464 | Petra Gomez | Case Manager/Care Coordinator | 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 | 2010-03-05 |
| Street Address |
1300 AVENIDA VISTA HERMOSA SUITE 100 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-6315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336186493 | Christopher Scott Carlin | Dermatology | 1300 Avenida Vista Hermosa, Suite 240, San Clemente, CA 92673-6315 | 2006-05-31 |
| 1356798789 | Carrie Crawford | Nurse Practitioner | 1300 Avenida Vista Hermosa, San Clemente, CA 92673-6315 | 2016-05-16 |
| 1023462074 | Sepideh Forstie | Chiropractor | 1300 Avenida Vista Hermosa, Ste 100, San Clemente, CA 92673-6315 | 2016-04-15 |
| 1588049944 | Allergy All Inc | Specialist | 1300 Avenida Vista Hermosa, Suite 100, San Clemente, CA 92673-6315 | 2015-07-28 |
| 1104189570 | Sepideh Forstie | Chiropractor | 1300 Avenida Vista Hermosa, Suite 100, San Clemente, CA 92673-6315 | 2012-06-20 |
| 1386903110 | Eva Marie Gentile, Md Inc | General Practice | 1300 Avenida Vista Hermosa, 100, San Clemente, CA 92673-6315 | 2012-05-14 |
| 1154642452 | San Clemente Family Medicine | Family Medicine | 1300 Avenida Vista Hermosa, Suite 200, San Clemente, CA 92673-6315 | 2010-06-21 |
| 1376795617 | Seema Khan | Internal Medicine | 1300 Avenida Vista Hermosa, Ste 250, San Clemente, CA 92673-6315 | 2008-10-17 |
| 1215102751 | Margaret Anne Vanblerk | Pediatrics | 1300 Avenida Vista Hermosa, Suite 250, San Clemente, CA 92673-6315 | 2008-04-25 |
| 1083822639 | South County Urgent Care Medical Corporation | Emergency Medicine | 1300 Avenida Vista Hermosa, #100, San Clemente, CA 92673-6315 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356689442 | Marianito Patam | Technician, Pathology | 3101 Legendario, San Clemente, CA 92673-3815 | 2013-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071882 | Gerardo Quinones Sr. | Technician, Pathology | 839 Illinois Ave., Colton, CA 92324-9232 | 2020-10-19 |
| 1467065300 | Rachel Perez | Technician, Pathology | 12569 Avenue 80, Pixley, CA 93256-9715 | 2020-08-29 |
| 1619586930 | Onestop Mobile Phlebotomy | Technician, Pathology | 4214 E Los Angeles Ave Apt 2, Simi Valley, CA 93063-3373 | 2020-07-23 |
| 1376151217 | Marco Dimailig | Technician, Pathology | 624 S Berendo St Apt 404, Los Angeles, CA 90005-1749 | 2020-07-16 |
| 1033735535 | Gentle Butterfly Phlebotomy Services LLC | Technician, Pathology | 568 Hacienda Ave, Perris, CA 92571-2810 | 2020-06-19 |
| 1861016958 | Jonathan Godes | Technician, Pathology | 878 Compass Way, San Diego, CA 92154-5839 | 2020-06-03 |
| 1467076067 | Darlene Bennett | Technician, Pathology | 8450 Carob St, Fontana, CA 92335-1221 | 2020-05-31 |
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1699395202 | Tanya M Atelian | Technician, Pathology | 195 E Mountain Dr, Santa Barbara, CA 93108-1025 | 2020-04-23 |
| 1811528490 | Pamela L Carter | Technician, Pathology | 27668 Dogwood St, Murrieta, CA 92562-4377 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
Please comment or provide details below to improve the information on PETRA G 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.