RAFAEL GOMEZ (NPI# 1841646619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841646619 |
| Entity Type | Individual |
| Full Name | RAFAEL GOMEZ |
| Credential | MFT INTERN |
| Practice Address |
1721 Griffin Ave Los Angeles CA 90031-3312 |
| Mailing Address |
1721 Griffin Ave Los Angeles CA 90031 |
| Practice Telephone | (323) 221-4134 |
| Practice Fax Number | 3232213231 |
| Mailing Telephone | 3232214134 |
| Mailing Fax Number | 3232213231 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IMF91959 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 113350 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 91959 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14181 Telegraph Rd, Whittier, CA 906042554 | 5622730722 | 5629463641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124478821 | Rafael Gomez | Case Manager/Care Coordinator | 1600 E Belle Terrace, Bakersfield, CA 93307 | 2016-06-14 |
| 1811134216 | Rafael Eligio Gomez Jr. | Internal Medicine | 1222 Molokai Rd, Jacksonville, FL 32216-3276 | 2009-01-07 |
| 1609972751 | Rafael T. Gomez | Psychiatry & Neurology | 1200 Ne 55th Boulevard, Nfetc, Gainesville, FL 32641-2759 | 2006-09-16 |
| 1902115439 | Rafael Amaya Gomez | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2010-10-01 |
| 1326256132 | Rafael Gomez | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2007-05-18 |
| 1447207923 | Rafael Gomez | Emergency Medicine | 311 Morrow St N, Mena, AR 71953-2516 | 2006-05-28 |
| Street Address |
1721 GRIFFIN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90031-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508938648 | Vip Community Mental Health Center, Inc. | Community/Behavioral Health | 1721 Griffin Ave, Los Angeles, CA 90031-3062 | 2006-11-14 |
| 1689289522 | Negar Afshar Moghadam | Student in an Organized Health Care Education/Training Program | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2020-09-08 |
| 1780206318 | Amanda Nicole Husted | Student in an Organized Health Care Education/Training Program | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2020-05-18 |
| 1730701806 | Sonia Jimenez | Case Manager/Care Coordinator | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2020-05-12 |
| 1285271700 | Elyse Alvarez | Case Manager/Care Coordinator | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2019-12-03 |
| 1093359846 | Jay-riley Small | Marriage & Family Therapist | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2019-11-05 |
| 1184268930 | Maritza Cuateco-juarez | Case Manager/Care Coordinator | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2019-11-05 |
| 1699317248 | Liliana Bonet | Student in an Organized Health Care Education/Training Program | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2019-10-16 |
| 1255972378 | Martha E Arevalo | Case Manager/Care Coordinator | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2019-09-30 |
| 1841840238 | Lindsay Garvey | Student in an Organized Health Care Education/Training Program | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2019-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247031 | James Han | Counselor | 2010 Lincoln Park Ave., Los Angeles, CA 90031 | 2017-07-12 |
| 1457712200 | Arturo Ibarra D.d.s. Inc | Dentist | 2407 North Broadway, Los Angeles, CA 90031 | 2016-03-08 |
| 1083081780 | Blair Evans James | Social Worker | 434 E Avenue 28 Ste 106, Los Angeles, CA 90031 | 2015-08-28 |
| 1538578133 | Si Xu | Acupuncturist | 2415 Pasadena Ave, Los Angeles, CA 90031 | 2014-08-07 |
| 1346583309 | Arlene Mary Juarez | Counselor | 2309 Daly Street, Masa Youth Center, Los Angeles, CA 90031 | 2013-03-28 |
| 1770858250 | Rama Paliwal | Pediatrics | 1025 Daly St, Jchs, Los Angeles, CA 90031 | 2012-03-15 |
| 1033482476 | Eloisa Padilla | Social Worker | 2309 Daly St ., Los Angeles, CA 90031 | 2012-02-15 |
| 1851601975 | Edmond Hwan Kim | Acupuncturist | 330 W. Avenue 26, #328, Los Angeles, CA 90031 | 2010-10-08 |
| 1629209382 | Dante Almendral Md, A Medical Corporation | Ophthalmology | 2425 North Broadway St., Los Angeles, CA 90031 | 2009-07-29 |
| 1003044090 | Sindy K. Ramos | Counselor | 1721 Griffin Ave., Los Angeles, CA 90031 | 2009-06-29 |
| Find all providers in zip 90031 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326645 | Jamie Bracco | Marriage & Family Therapist | 564 Lillian Way, Los Angeles, CA 90004-1106 | 2020-11-02 |
| 1174123160 | Namita Individual Family and Child Therapists & Associates, Inc. | Marriage & Family Therapist | 357 S Curson Ave # 47-4e, Los Angeles, CA 90036-5201 | 2020-10-28 |
| 1972103398 | Vera Mae Rodriguez | Marriage & Family Therapist | 124 N Townsend Ave, Los Angeles, CA 90063-2334 | 2020-10-26 |
| 1639778319 | Ep Marriage Therapy, Inc. | Marriage & Family Therapist | 504 S Normandie Ave Apt 105, Los Angeles, CA 90020-3023 | 2020-10-22 |
| 1306445499 | Maythal H Eshaghian | Marriage & Family Therapist | 100 N Wetherly Dr Apt 2d, Los Angeles, CA 90048-1833 | 2020-10-20 |
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1528666005 | Paul Felipe Estopier | Marriage & Family Therapist | 3630 Marathon St Apt 318, Los Angeles, CA 90026-2869 | 2020-10-15 |
| 1245837970 | Catherine Pancheri | Marriage & Family Therapist | 616 N Curson Ave, Los Angeles, CA 90036-1812 | 2020-10-06 |
| 1003423500 | Rachel Goldstein | Marriage & Family Therapist | 11700 National Blvd # L129, Los Angeles, CA 90064-3669 | 2020-09-28 |
| 1326655473 | Robert A Garcia | Marriage & Family Therapist | 515 E 9th St, Los Angeles, CA 90015-1817 | 2020-09-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90031 |
Please comment or provide details below to improve the information on RAFAEL GOMEZ.
| 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.