Active NPI
Laura Elena Arce-Gomez, MD
- Family Medicine Physician
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42233
- Practice address
- 678 3Rd Ave
Chula Vista, CA 91910-5736 - Phone
- (619) 662-4100
- Fax
- (619) 662-4100
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 42233 | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 42233 | AZ | Primary |
Addresses
Primary practice location
678 3Rd Ave
Chula Vista, CA 91910-5736
Mailing address
678 3Rd Ave
Chula Vista, CA 91910-5736
Phone (619) 662-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 459093 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1136 D Ave
National City, CA 91950-3412
Phone (619) 662-4100
1637 3Rd Ave
Suite B
Chula Vista, CA 91911-5823
Phone (619) 662-4100
4004 Beyer Blvd
San Ysidro, CA 92173-2007
Phone (619) 428-4463
4050 Beyer Blvd
San Ysidro, CA 92173-2007
Phone (619) 662-4100
678 3Rd Ave
Chula Vista, CA 91910-5736
Phone (619) 662-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| RCDC of Mesa PLC | Past | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
678 Third Ave
Chula Vista, CA 91910
Phone (619) 205-6349
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
4004 Beyer Blvd
San Ysidro, CA 92173
Phone (619) 428-1330
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- larcegomez18482@syhealth.direct-ci.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1326225632
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1003869363
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
-
- Dermatology Physician
- Chandler, AZ
- NPI 1225533409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1053532986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "678 3RD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105736",
"telephone_number": "619-662-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "678 3RD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105736",
"telephone_number": "619-662-4100",
"fax_number": "619-662-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCE-GOMEZ",
"first_name": "LAURA",
"middle_name": "ELENA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AZ",
"license": "42233",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "42233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "459093",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.