ROBERT ANTONIO GOMEZ


Address: 1400 Emeline Ave, Santa Cruz, CA 95060-1976
Phone: 7146160639

ROBERT ANTONIO GOMEZ (NPI# 1962981282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962981282
Entity Type Individual
Full Name ROBERT ANTONIO GOMEZ
Practice Address 1400 Emeline Ave
Santa Cruz
CA 95060-1976
Mailing Address Po Box 28374
Anaheim
CA 92809-0145
Practice Telephone 7146160639
Mailing Telephone 7146160639
Enumeration Date 2018-08-08
Last Update Date 2018-08-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251K00000X Public Health or Welfare CA Agencies
Y 261QP0905X Clinic/Center
Specialization: Public Health, State or Local
CA Ambulatory Health Care Facilities

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Office Location

Street Address 1400 EMELINE AVE
City SANTA CRUZ
State CA
Zip Code 95060-1976

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114925526 William C Falzett Jr. Psychologist 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2005-07-09
1013518125 Magali Eunice Arriaga Ortiz Nurse's Aide 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2020-11-04
1154920098 Andromeda Marie Scheller Nurse's Aide 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2020-10-21
1124665286 Jeremy Lansing Social Worker 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2019-12-06
1013564806 Amanda Lynett Travers Counselor 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2019-08-26
1144887928 Nathan J Riera Rehabilitation Counselor 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2019-05-28
1386201242 Joseph Harris Price IIi Counselor 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2019-05-24
1841759305 Julie Delophine Keller-olivas Registered Nurse 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2019-03-14
1154808368 Diana Marcela Eaton Nurse's Aide 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2018-07-20
1942797048 Mark Albert Burnias Case Manager/Care Coordinator 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2018-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366940215 Tiphanie Bowens Counselor 380 Encinal St., Suite 200, Santa Cruz, CA 95060 2018-01-25
1942714167 Kyle Hardwick Chiropractor 203 River Street, Santa Cruz, CA 95060 2017-11-27
1972015741 Nina Marie Francesconi Acupuncturist 110 Fern St Apt. C, Santa Cruz, CA 95060 2017-11-01
1679091870 Laura Evelyn Rochelle Counselor 380 Encinal St., Suit 200, Santa Cruz, CA 95060 2017-09-07
1649797903 Jessica Tarnoff Counselor 716 Ocean St., Santa Cruz, CA 95060 2017-08-28
1356862064 Lakia Niema Queen Counselor 542 Ocean Street Suite K, Santa Cruz, CA 95060 2017-07-03
1023555992 Allison Whitehead Nurse Practitioner 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 2017-01-30
1659827293 Annabelle Drda Marriage & Family Therapist 303 Portero St, Santa Cruz, CA 95060 2016-09-01
1376999698 Erin Liana Johnson Counselor 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 2016-05-05
1659732097 Daniel Ezekiel Contreras Counselor 1080 Emeline Building D, Santa Cruz, CA 95060 2016-03-13
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Taxonomy Information

Taxonomy Code 261QP0905X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Public Health, State or Local

Taxonomy Definition

Definition to come...

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1134658644 County of Ventura Clinic/Center 2240 E Gonzales Rd Ste 210, Oxnard, CA 93036-8216 2017-06-08
1598212045 Truc Doan Clinic/Center 1000 W. Carson, Torrance, CA 90502 2016-09-01
1861765877 County of Los Angeles Clinic/Center 522 S. San Pedro Street, Los Angeles, CA 90013-2102 2012-02-22
1356588925 Optimum Health Care Centet Clinic/Center 4244 Mustic Way, Mather, CA 95655-3032 2009-01-19
1740431436 County of Orange Clinic/Center 1725 W 17th St Ste 101f, Santa Ana, CA 92706-2316 2008-10-01
1457501280 County of Merced Clinic/Center 415 F St, Los Banos, CA 93635-3612 2008-09-29
1275795692 El Dorado County Health Department Clinic/Center 931 Spring Street, Placerville, CA 95667 2008-06-26
1447444294 County of Los Angeles Clinic/Center 241 N Figueroa St, Los Angeles, CA 90012-2601 2007-09-04
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Competitor

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City SANTA CRUZ
Zip Code 95060

Improve Information

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Dataset Information

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.

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