Vanessa Gomez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

111497 Issued in CA

Practice address

11850 1/2 Balboa Blvd
Granada Hills, CA 91344-2700

Phone

(818) 360-1946

NPI assigned

May 22, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Vanessa Gomez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ekizian and Elie Dental Corporation

  • General Practice Dentistry
  • Granada Hills, CA
  • NPI 1467574376
  NPD (past)

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1063205169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 WOODMAN AVE UNIT 2",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316470",
            "telephone_number": "956-560-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 1/2 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442700",
            "telephone_number": "818-360-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "VANESSA",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "GOMEZ",
            "prefix": "MS.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Golden Years Senior Living, Inc
• Yung Lee Goldson, LMFT
• Michael Saul Golub, MD
• Gabriela Elizabeth Gomez Aquino
• Maritza Gomez
• Gong Nashed Pascoe Inc
• Lizbeth Gonzalez
• Good Choice Home Care, Inc.
• Good Choice Hospice Care
• Good Meds, Inc.

• Dentist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.