Individual provider Active NPI

Erika Nakamura Gomez, D.D.S.

  • General Practice Dentistry
  • San Pedro, CA
National Provider Identifier
1013150838
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56659 Issued in CA
Practice address
520 W 7TH St
San Pedro, CA 90731-3116
Phone
(310) 832-5361
NPI assigned
Apr 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56659 CA Primary

Addresses

Primary practice location

520 W 7TH St
San Pedro, CA 90731-3116

Mailing address

1750 E Ocean Blvd Unit 109
Long Beach, CA 90802-6017
Phone (562) 230-9666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
56659CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Pedro Dental Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1013150838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E OCEAN BLVD UNIT 109",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908026017",
            "telephone_number": "562-230-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313116",
            "telephone_number": "310-832-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA GOMEZ",
        "first_name": "ERIKA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.