SANDRA JANETH DOMINGUEZ GOMEZ (NPI# 1477868834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477868834 |
| Entity Type | Individual |
| Full Name | SANDRA JANETH DOMINGUEZ GOMEZ |
| Credential | STUDENT |
| Practice Address |
290 I00 F Ave. Gilroy CA 95020 |
| Practice Telephone | 4088462100 |
| Mailing Telephone | 4088462100 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2018-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
290 I00 F AVE. |
| City | GILROY |
| State | CA |
| Zip Code | 95020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
| Find all providers in zip 95020 | ||||
| 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 |
|---|---|---|---|---|
| 1982242509 | Rahul Rajeev Kini | Student in an Organized Health Care Education/Training Program | 2515 Sunflower Cir, Gilroy, CA 95020-7965 | 2019-12-13 |
| 1992314348 | Samantha Kathleen Chicca | Student in an Organized Health Care Education/Training Program | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-07-30 |
| 1093324329 | Elizabeth Alvarez | Student in an Organized Health Care Education/Training Program | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-07-22 |
| 1154946994 | Ruby Escatel | Student in an Organized Health Care Education/Training Program | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-06-08 |
| 1295359164 | Valeria Gutierrez | Student in an Organized Health Care Education/Training Program | 290 Loof Ave, Gilroy, CA 95020 | 2020-06-05 |
| 1538782255 | Gabriela Ayala Godinez | Student in an Organized Health Care Education/Training Program | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-05-28 |
| 1164076881 | Diana Mulina | Student in an Organized Health Care Education/Training Program | Rebekah Children's Services 290 Ioof Ave, Gilroy, CA 95020 | 2019-07-31 |
| 1235798125 | Ariana Guadalupe Arenas | Student in an Organized Health Care Education/Training Program | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2019-06-13 |
| 1538728969 | Vanessa Diaz | Student in an Organized Health Care Education/Training Program | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2019-06-10 |
| 1326605486 | Sunny Tan | Student in an Organized Health Care Education/Training Program | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2019-05-23 |
| Find all providers in GILROY | ||||
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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.