Elena Noelle Gomez

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28948 Issued in CA

Practice address

1801 Bush St Ste 209
San Francisco, CA 94109-5297

Phone

(415) 323-0161

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1093066359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936B 7TH ST # 152",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453002",
            "telephone_number": "415-323-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BUSH ST STE 209",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095297",
            "telephone_number": "415-323-0161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39465 Paseo Padre Pkwy Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381624",
            "country_code": "US",
            "telephone_number": "918-340-8263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2299 Mowry Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381621",
            "country_code": "US",
            "telephone_number": "510-456-4312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Fulton St Ste 108",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941024364",
            "country_code": "US",
            "telephone_number": "415-323-0161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "676 Chenery St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941313034",
            "country_code": "US",
            "telephone_number": "918-340-8263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ELENA",
        "middle_name": "NOELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antia Itzel Gomez, MD, PHD
• Antonio Diaz Gomez, MD
• Arcelia Gomez, RASI
• Carla Margarita Gomez
• Desiree Gomez
• Elizabeth Rebecca Gomez, CCC-SLP
• Esmeralda Gomez
• Francisco Gomez, NP
• Gabriela Gomez
• Giulianna Gomez

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.

Verify at the official NPI Registry.