Individual provider Active NPI

Lydia Alejandra Robles Gomez, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • South Gate, CA
National Provider Identifier
1073136495
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A204105 Issued in CA
Practice address
5831 Firestone Blvd Ste E
South Gate, CA 90280-3718
Phone
(562) 600-4471
NPI assigned
May 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A204105 CA Primary

Addresses

Primary practice location

5831 Firestone Blvd Ste E
South Gate, CA 90280-3718

Mailing address

5831 Firestone Blvd Ste E
South Gate, CA 90280-3718
Phone (562) 600-4471

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010001772 CA Practitioner - Endocrinology 0446757751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Complete Care Community Health Center, IncGroup PAC ID 3779494190, 45 clinicians

Practice addresses (Care Compare)

5831 Firestone Blvd
Suite E
South Gate, CA 90280-3718
Phone (562) 806-7545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A204105CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc CurrentSince Sep 25, 2025 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Sep 25, 2025 Accepting new patients
Loyola University Medical Center Current Accepting new patients

Locations

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

5831 Firestone Blvd
Ste E
South Gate, CA 90280
Phone (562) 600-4471

5831 Firestone Blvd
South Gate, CA 90280
Phone (310) 919-2320

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lroblesgomez126050@direct.luhs.org
  • Direct secure messaging: lydia.robles.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 3

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1073136495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 FIRESTONE BLVD STE E",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902803718",
            "telephone_number": "562-600-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 FIRESTONE BLVD STE E",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902803718",
            "telephone_number": "562-600-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES GOMEZ",
        "first_name": "LYDIA",
        "middle_name": "ALEJANDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A204105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

Verify at the official NPI Registry.