JESSICA GOMEZ (NPI# 1932552395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932552395 |
| Entity Type | Individual |
| Full Name | JESSICA GOMEZ |
| Practice Address |
210 S De Lacey Ave Suite 110 Pasadena CA 91105-2048 |
| Practice Telephone | 6263957100 |
| Mailing Telephone | 6263957100 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864471 | Jessica Gomez | Technician | 1621 Benjamin St, Saginaw, MI 48602-5311 | 2019-10-30 |
| 1114582681 | Jessica Lizet Gomez | Physician Assistant | 8008 Monet Ave Ste 107, Rancho Cucamonga, CA 91739-7509 | 2019-05-09 |
| 1801367644 | Jessica Gomez | Social Worker | 347 Mcdonald Ave Apt 2a, Brooklyn, NY 11218-2247 | 2018-12-05 |
| 1356795686 | Jessica Caridad Gomez | Nurse Practitioner | 701 Ne 59th Ct, Fort Lauderdale, FL 33334-3555 | 2016-04-23 |
| 1861827925 | Jessica Renee Gomez | Counselor | 3105 Wilson Rd., Bakersfield, CA 93304-5319 | 2013-09-09 |
| 1053752667 | Jessica Paola Gomez | Pharmacist | 2221 Stockton Blvd Rm 1130, Sacramento, CA 95817-1418 | 2013-07-11 |
| 1790041804 | Jessica Gomez | Ophthalmology | 7695 Cardinal Ct Ste 100, San Diego, CA 92123-3357 | 2012-04-03 |
| 1932184207 | Jessica Lopez Gomez | Nurse Anesthetist, Certified Registered | 7600 Sw 87th Ave, Miami, FL 33173-3601 | 2005-12-09 |
| 1992304802 | Jessica Gomez | Behavior Technician | 6177 N Thesta St Ste 103, Fresno, CA 93710-8600 | 2020-10-21 |
| 1861091910 | Jessica Gomez | Chore Provider | 2001 S Jones Blvd Ste G, Las Vegas, NV 89146-3165 | 2020-10-20 |
| Street Address |
210 S DE LACEY AVE SUITE 110 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841382181 | Cong Tam Ngoc Nguyen | Counselor | 210 S De Lacey Ave, Suite #110, Pasadena, CA 91105-2048 | 2006-09-28 |
| 1558895185 | Iris Zheng | Student in an Organized Health Care Education/Training Program | 210 S De Lacey Ave, Ste 110, Pasadena, CA 91105-2048 | 2017-04-20 |
| 1225575285 | Milagros M Serrano Ortiz | Marriage & Family Therapist | 210 S De Lacey Ave, Suite 110, Pasadena, CA 91105-2048 | 2017-01-27 |
| 1962948463 | Maaria Khan | Marriage & Family Therapist | 210 S De Lacey Ave, Suite 110, Pasadena, CA 91105-2048 | 2017-01-09 |
| 1124562145 | Carlos Todd Jr. | Student in an Organized Health Care Education/Training Program | 210 S De Lacey Ave, Suite 110, Pasadena, CA 91105-2048 | 2016-12-09 |
| 1700334323 | Alice Silvestre | Marriage & Family Therapist | 210 S De Lacey Ave, Pasadena, CA 91105-2048 | 2016-09-12 |
| 1710433883 | Kevin Amaya | Rehabilitation Practitioner | 210 S De Lacey Ave, 110, Pasadena, CA 91105-2048 | 2016-08-29 |
| 1528512654 | Salman Farooq | Marriage & Family Therapist | 210 S De Lacey Ave, 110, Pasadena, CA 91105-2048 | 2016-08-05 |
| 1528411147 | Kelsey Smoker | Student in an Organized Health Care Education/Training Program | 210 S De Lacey Ave, Suite 110, Pasadena, CA 91105-2048 | 2016-07-19 |
| 1598116139 | Edden Agonafer | Student in an Organized Health Care Education/Training Program | 210 S De Lacey Ave, 110, Pasadena, CA 91105-2048 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837558 | Carol Luree Eckerl | Student in an Organized Health Care Education/Training Program | 673 Cedar Dr, Pasadena, MD 21122-4450 | 2020-10-08 |
| 1902420227 | Scott Robert Henderson | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Me, 98 S. Los Robles Avenue, Pasadena, CA 91101-9110 | 2020-06-02 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1659906469 | Danielle Elisa Cook | Student in an Organized Health Care Education/Training Program | 1370 Old Water Oak Point Rd, Pasadena, MD 21122-2300 | 2020-03-12 |
| 1750933511 | Andrew Long | Student in an Organized Health Care Education/Training Program | 1632 Concordia Dr, Pasadena, MD 21122-6008 | 2019-07-11 |
| 1336791375 | Jianyin Li | Student in an Organized Health Care Education/Training Program | 100 W Wanut Street Suite 375, Pasadena, CA 91124-0001 | 2019-07-10 |
| 1669034039 | Mai Nojima | Student in an Organized Health Care Education/Training Program | 98 S Los Robles Ave, Pasadena, CA 91101-2433 | 2019-07-05 |
| 1912569997 | Katelyn Marie George | Student in an Organized Health Care Education/Training Program | 8028 Ritchie Hwy Ste 120, Pasadena, MD 21122-1069 | 2019-07-01 |
| 1427534767 | Susanna Sackitey | Student in an Organized Health Care Education/Training Program | 280 S Euclid Ave Apt 102, Pasadena, CA 91101-2760 | 2018-07-18 |
| Find all providers in PASADENA | ||||
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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.