DR. TIMOTHY GOMEZ IV (NPI# 1780143073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780143073 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY GOMEZ IV |
| Credential | PHARMD |
| Practice Address |
4080 W Shaw Ave Fresno CA 93722-6220 |
| Mailing Address |
2186 Moir Dr Sanger CA 93657-3615 |
| Practice Telephone | 5592778274 |
| Mailing Telephone | 5593474302 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0017072 | OR | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RPH-80267 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063501971 | Timothy Michael Gomez | Dentist | 6471 N La Cholla Blvd, Tucson, AZ 85741-3141 | 2006-10-11 |
| Street Address |
4080 W SHAW AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770500191 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4080 W Shaw Ave, Fresno, CA 93722-6220 | 2006-07-16 |
| 1801425418 | Jane Truong | Pharmacist | 4080 W Shaw Ave, Fresno, CA 93722-6220 | 2020-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163174 | Michael Krage | Pharmacist | 1302 Fulton St, Fresno, CA 93721-1608 | 2020-01-08 |
| 1417595711 | Alexis Mozelle Lolita Woods | Pharmacist | 5348 E Heaton Ave, Fresno, CA 93727-5252 | 2019-12-17 |
| 1154966588 | Vy T Tran | Pharmacist | 261 E Braddock Dr, Fresno, CA 93720-0826 | 2019-11-08 |
| 1831750413 | Nancy Lam | Pharmacist | 7112 N Fresno St Ste 460, Fresno, CA 93720-2947 | 2019-06-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1306409792 | Golnoosh Dalili | Pharmacist | 1349 E Via Roma Dr, Fresno, CA 93730-8800 | 2019-04-21 |
| 1104489814 | Jaime Bautista Bautista | Pharmacist | 7762 N Princess Ave, Fresno, CA 93722-2231 | 2019-04-18 |
| 1801359286 | Madlen Rizkallah | Pharmacist | 7090 N Refinement Dr, Fresno, CA 93711-0291 | 2019-04-11 |
| 1346714375 | Maha Mhaissen | Pharmacist | 2272 E Prestwick Ave, Fresno, CA 93730-5958 | 2019-01-12 |
| 1851867386 | Cuihong Zhai Leung | Pharmacist | 525 E Mariners Cir, Fresno, CA 93730-0848 | 2018-10-23 |
| 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.