PETRA G GOMEZ


Address: 1300 Avenida Vista Hermosa, Suite 100, San Clemente, CA 92673-6315
Phone: 9492183001

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
Technologists, Technicians & Other Technical Service Providers

Other Providers PETRA GOMEZ

NPI Name Taxonomy Address Enumeration
1477876464 Petra Gomez Case Manager/Care Coordinator 3628 Stockdale Hwy, Bakersfield, CA 93309-2153 2010-03-05

Office Location

Street Address 1300 AVENIDA VISTA HERMOSA
SUITE 100
City SAN CLEMENTE
State CA
Zip Code 92673-6315

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356689442 Marianito Patam Technician, Pathology 3101 Legendario, San Clemente, CA 92673-3815 2013-01-23

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City SAN CLEMENTE
Zip Code 92673

Improve Information

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Dataset Information

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.

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