Lucas Stephano Gomez

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

402 W Colton Ave
Redlands, CA 92374-3108

Phone

(909) 455-9473

NPI assigned

Jun 17, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1033005772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7448 YELLOW JASMINE DR",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463862",
            "telephone_number": "909-728-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W COLTON AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743108",
            "telephone_number": "909-455-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "LUCAS",
        "middle_name": "STEPHANO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Goldstein
• Yvette Vargas Goltiao, MFT INTERN
• Gomez & Associates, Inc.
• Liliana Gomez Garza, PT, DPT
• Alexa Patricia Gomez
• Mabel Gomez
• Maria Yadira Gomez
• Sabrina Elena Gomez
• Trudy Dee Gondos
• Kyle Gonering

• Community Health Worker in Redlands, CA
• Providers in Redlands, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.