ELIZABETH R GOMEZ (NPI# 1649567652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649567652 |
| Entity Type | Individual |
| Full Name | ELIZABETH R GOMEZ |
| Credential | RAS G1008291735 |
| Practice Address |
3636 N 1st St # 135 & 154 Fresno CA 93726-6800 |
| Mailing Address |
2777 W Ashlan Ave 118 Fresno CA 93705-1749 |
| Practice Telephone | 5592251464 |
| Mailing Telephone | 5599992353 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
G1008291735 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635986 | Elizabeth Gomez | Behavior Technician | 3557 Del Monte Way, San Leandro, CA 94578-4056 | 2018-07-06 |
| 1710137625 | Elizabeth Gomez | Social Worker | 6701 65th St, Glendale, NY 11385-4635 | 2008-09-27 |
| 1578773289 | Elizabeth Gomez | Pharmacy Technician | Ave.jardines De Aguadilla #219, Aguadilla, PR 00603 | 2007-05-23 |
| 1538787601 | Elizabeth Frances Gomez | Dentist | 3719 W Anthem Way Ste 101, Anthem, AZ 85086-0477 | 2020-07-06 |
| 1902455868 | Elizabeth Gomez | Behavior Technician | 1513 Sw 2nd Ct, Homestead, FL 33030-6675 | 2019-09-04 |
| 1073165734 | Elizabeth Gomez | Behavior Technician | 2970 Hilltop Mall Rd Ste. 104, Richmond, CA 94806-9480 | 2019-07-12 |
| 1912463829 | Elizabeth Gomez | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-02-15 |
| 1598232811 | Elizabeth Gomez | Licensed Vocational Nurse | 12130 Paramount Blvd, Downey, CA 90242-2339 | 2018-10-24 |
| 1306332606 | Elizabeth Gomez | Behavioral Analyst | 6 Strathmore Rd, Natick, MA 01760-2419 | 2018-07-10 |
| 1396239810 | Elizabeth Anne Gomez | Marriage & Family Therapist | 1513 E Chapman Ave, Fullerton, CA 92831-4013 | 2018-06-18 |
| Street Address |
3636 N 1ST ST # 135 & 154 |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1649807694 | Debbie Jeneen Darden | Counselor | 891 W Kearney Blvd, Fresno, CA 93706-2514 | 2020-03-26 |
| 1205466802 | Elizabeth C Esqueda | Counselor | 804 S Parallel Ave, Fresno, CA 93721-2404 | 2020-01-22 |
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1831669951 | Ashlee Faith Vasquez | Counselor | 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 | 2018-12-01 |
| Find all providers in FRESNO | ||||
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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.