MARTHA GOMEZ (NPI# 1760882674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760882674 |
| Entity Type | Individual |
| Full Name | MARTHA GOMEZ |
| Practice Address |
614 Tully Rd San Jose CA 95111-1048 |
| Practice Telephone | 4089771591 |
| Practice Fax Number | 4089771136 |
| Mailing Telephone | 4089771591 |
| Mailing Fax Number | 4089771136 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | RS8210A | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700234390 | Martha Gomez | Technician, Other | 17455 Nw 75th Pl Apt 201, Hialeah, FL 33015-7138 | 2016-05-24 |
| 1477700797 | Martha Gomez | Social Worker | 1707 S New Hampshire Ave, Los Angeles, CA 90006-4515 | 2008-08-19 |
| 1255343604 | Martha I Gomez | Psychologist | 8853 Commodity Cir, Suite 3, Orlando, FL 32819-9010 | 2006-08-13 |
| 1003822651 | Martha Yanetty Gomez | Internal Medicine | Carr 21 U 3 19, Las Lomas, San Juan, PR 00921 | 2006-08-01 |
| 1962018820 | Martha Dennisse Gomez | Occupational Therapist | 1140 W 50th St, Hialeah, FL 33012-3440 | 2020-09-16 |
| 1699384313 | Martha Evelyn Gomez | Behavior Technician | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2020-07-28 |
| 1942818794 | Martha Gomez | Behavior Technician | 87 W March Ln Ste 6, Stockton, CA 95207-5731 | 2020-07-17 |
| 1811531353 | Martha Gomez | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2019-10-28 |
| 1588085450 | Martha Gomez | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2013-12-19 |
| 1851669964 | Martha Patricia Gomez | Rehabilitation Practitioner | 1126 N Grand Ave, Covina, CA 91724-1551 | 2011-12-03 |
| Street Address |
614 TULLY RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95111-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699843060 | Minh Chau Duong | Counselor | 614 Tully Rd, San Jose, CA 95111-1048 | 2006-12-01 |
| 1629630421 | Sonia Clemente | Counselor | 614 Tully Rd, San Jose, CA 95111-1048 | 2019-07-01 |
| 1376109629 | Gardner Family Health Network Inc | Community/Behavioral Health | 614 Tully Rd, San Jose, CA 95111-1048 | 2019-05-13 |
| 1316406481 | Ngoc Nguyen Hong Pham | Social Worker | 614 Tully Rd, San Jose, CA 95111-1048 | 2019-03-18 |
| 1386114437 | Eloisa Ivette Rodriguez | Social Worker | 614 Tully Rd, San Jose, CA 95111-1048 | 2018-12-03 |
| 1275016669 | Carolina Garcia | Rehabilitation Counselor | 614 Tully Rd, San Jose, CA 95111-1048 | 2018-09-11 |
| 1326572959 | Mar Joseph Odias | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-04-20 |
| 1770021206 | Ryan Pagala | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-02-03 |
| 1134667652 | Veronica Pham | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-02-03 |
| 1952849481 | Michael Borromeo | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134667413 | Aldo Hernandez | Community Health Worker | 488 Skyway Dr, San Jose, CA 95111 | 2017-02-07 |
| 1518217017 | Jean Jennifer J Soliven | Registered Nurse | 614 Tully Rd., San Jose, CA 95111 | 2012-09-12 |
| 1679894604 | Julie Chi | Counselor | 581 Coyote Road, San Jose, CA 95111 | 2010-06-14 |
| 1720278179 | Mv Transportation | Non-emergency Medical Transport (VAN) | 555 Tully Road, Mv Transportation, San Jose, CA 95111 | 2007-07-31 |
| 1437355948 | Anthony Cozzolino | Psychiatry & Neurology | 614 Tully Road, Narvaez Mental Health, San Jose, CA 95111 | 2007-06-22 |
| 1750403515 | Karen Pham | Dentist | 4074 Monterey Road, San Jose, CA 95111 | 2007-04-04 |
| 1376697847 | Mai Anh Le | Dentist | 60 Senter Rd, San Jose, CA 95111 | 2007-01-22 |
| 1649335852 | Bui and Enriquez Dental Corporation | Dentist | 485 Lewis Rd, Suite A, San Jose, CA 95111 | 2006-12-27 |
| 1619031903 | Huyen Thu Nguyen | Pharmacist | 796 Apple Terrace, San Jose, CA 95111 | 2006-12-20 |
| 1285720342 | Lily Khanh-linh Thi Nguyen | Obstetrics & Gynecology | 500 W Tully Rd, Ob/gyn Clinic, San Jose, CA 95111 | 2006-10-05 |
| Find all providers in zip 95111 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276430 | Tuong-vi T Tran | Counselor | 1340 Tully Rd Ste 301&304, San Jose, CA 95122-3055 | 2020-08-21 |
| 1013531995 | Ellen Noon | Counselor | 1760 The Alameda, San Jose, CA 95126-1728 | 2020-06-05 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1497314645 | Katherine Cairns | Counselor | 650 S Bascom Ave Ste B, San Jose, CA 95128-2601 | 2019-06-11 |
| 1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
| 1891358677 | Mckenna Talley | Counselor | 150 Bernal Rd, San Jose, CA 95119-1304 | 2019-04-17 |
| 1548734130 | Rachel Ruiz II | Counselor | 9505 Malech Rd, San Jose, CA 95138-2002 | 2019-01-16 |
| 1275008435 | Sieglinde Kay Oorton-wright | Counselor | 2963 Sunburst Dr, San Jose, CA 95111-2265 | 2018-10-03 |
| 1689168346 | Alexandra Grandy | Counselor | 2939 David Ave, San Jose, CA 95128-4423 | 2018-06-17 |
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| Find all providers in SAN JOSE | ||||
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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.