JORGE ALEJANDRO GOMEZ (NPI# 1568917805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568917805 |
| Entity Type | Individual |
| Full Name | JORGE ALEJANDRO GOMEZ |
| Practice Address |
150 W 7th St San Pedro CA 90731 |
| Mailing Address |
150 W 7th St San Pedro CA 90731-3320 |
| Practice Telephone | 3105196100 |
| Practice Fax Number | 3107325809 |
| Mailing Telephone | 3105196100 |
| Mailing Fax Number | 3107325809 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2018-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ASW83272 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6043 Hollywood Blvd, Los Angeles, CA 900285411 | 3236104110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911471 | Jorge Manuel Gomez | General Practice | Calle Emeterio Betances #56 Norte, Mayaguez, PR 00680 | 2018-11-19 |
| 1144203878 | Jorge Luis Gomez | Dentist | 8397 Woodhaven Blvd, Woodhaven, NY 11421-1531 | 2005-11-28 |
| 1568443356 | Jorge Gomez | Internal Medicine | 1355 South International Parkway, Suite 1451, Lake Mary, FL 32746-1694 | 2005-11-08 |
| 1902418056 | Jorge Gomez | Rehabilitation Counselor | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2020-08-19 |
| 1033694617 | Jorge Gomez | Behavior Technician | 901 Sneath Ln Ste 105, San Bruno, CA 94066-2415 | 2018-09-28 |
| 1821579319 | Jorge Gomez | Counselor | 124 River Rd, Salinas, CA 93908-9601 | 2018-08-23 |
| 1881143055 | Jorge Gomez | Student in an Organized Health Care Education/Training Program | 5835 S Eastern Ave, Commerce, CA 90040-4029 | 2016-09-28 |
| 1982097200 | Jorge Luis Gomez | Occupational Therapist | 1380 N Krome Ave, Suite #110, Florida City, FL 33034-2406 | 2015-03-11 |
| 1922267111 | Jorge Gomez | Marriage & Family Therapist | 19401 S Vermont Ave Ste A200, Torrance, CA 90502-4418 | 2008-06-03 |
| 1457374068 | Jorge L Gomez | Specialist | 6200 Sunset Dr, Suite 301, South Miami, FL 33143-4828 | 2006-07-25 |
| Street Address |
150 W 7TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629001037 | Los Angeles County Department of Mental Health | Clinic/Center | 150 W 7th St, San Pedro, CA 90731-3320 | 2006-07-09 |
| 1689289399 | Claudia R Del Valle | Counselor | 150 W 7th St, San Pedro, CA 90731-3320 | 2020-09-10 |
| 1235787235 | Taryn Alexandra Joyce | Clinical Nurse Specialist | 150 W 7th St, San Pedro, CA 90731-3320 | 2019-09-03 |
| 1972161149 | Carolina Nazario | Case Manager/Care Coordinator | 150 W 7th St, San Pedro, CA 90731-3320 | 2019-06-03 |
| 1801454087 | Beysi Lidia Orellana | Case Manager/Care Coordinator | 150 W 7th St, San Pedro, CA 90731-3320 | 2019-06-03 |
| 1528543907 | Gabriela Sanchez | Marriage & Family Therapist | 150 W 7th St, San Pedro, CA 90731-3320 | 2018-10-01 |
| 1770066607 | Sarah Chang Soncrant | Psychologist | 150 W 7th St, San Pedro, CA 90731-3320 | 2018-09-06 |
| 1124539820 | Roberta Lynn Venegas | Case Manager/Care Coordinator | 150 W 7th St, San Pedro, CA 90731-3320 | 2017-10-20 |
| 1699293555 | Teryn Hara | Counselor | 150 W 7th St, San Pedro, CA 90731-3320 | 2017-08-31 |
| 1780030015 | Teresa Saldana | Case Manager/Care Coordinator | 150 W 7th St, San Pedro, CA 90731-3320 | 2016-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912535030 | Morgan Elizabeth Abraham | Counselor | 302 W 5th St Unit 102, San Pedro, CA 90731-2738 | 2020-04-01 |
| 1558808667 | Pacifica Neuropsychology Center, Inc | Counselor | 461 W 6th St Ste 211, San Pedro, CA 90731-2677 | 2017-01-26 |
| 1376922328 | Epiphany Counseling, Consulting & Treatment Services, PC | Counselor | 302 W 5th St Ste 308, San Pedro, CA 90731-2750 | 2015-05-22 |
| 1760807051 | Ryan Beatty | Counselor | 457 W 40th St Apt B, San Pedro, CA 90731-7148 | 2014-02-24 |
| 1710259114 | Anne Karin Nelson | Counselor | 1812 W 25th St, San Pedro, CA 90732-4202 | 2012-01-31 |
| 1144538620 | Shannon Frances Griswold | Counselor | 314 S Miraleste Dr Unit 120, San Pedro, CA 90732-3005 | 2010-09-19 |
| 1194057166 | Patricia Owens | Counselor | 354 S Miraleste Dr, San Pedro, CA 90732-6087 | 2010-02-02 |
| 1346476413 | Stephanie Teresa Griffin | Counselor | 1152 W Santa Cruz St, San Pedro, CA 90731-1940 | 2009-06-03 |
| 1558554162 | Cristina L. Dawes | Counselor | 2500 Via Cabrillo Mrna Ste 200a1, San Pedro, CA 90731-7224 | 2007-08-27 |
| 1346372281 | Nancy Miller | Counselor | 1450 W 7th St, San Pedro, CA 90732-3516 | 2007-03-09 |
| Find all providers in SAN PEDRO | ||||
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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.