Sergio R. Gomez M.D. Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A74276 Issued in CA

Legal business name

SERGIO R. GOMEZ M.D. INC

Practice address

2005 North Garey Ave
Pomona, CA 91767

Phone

(909) 868-1620

Fax

(909) 593-4500

NPI assigned

Jun 21, 2007

Last updated

May 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sergio Rene GomezNPI 1689720112

Title

Medical President

Phone

(909) 868-1620

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sergio Rene Gomez, MD

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1689720112
  Authorized official Same address or phone

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1134325822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672721",
            "telephone_number": "909-868-1620",
            "fax_number": "909-593-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 NORTH GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-868-1620",
            "fax_number": "909-593-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO R. GOMEZ M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "MEDICAL PRESIDENT",
        "authorized_official_telephone_number": "909-868-1620"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A74276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arrielle Maria Seminario
• Maria Guadalupe Sempe, RDA
• Cindy Marie Sendor, MA, CCC-SLP
• Seung Yeon Seo
• Jonathan Harry Serebrin, MD
• Zulima L Serrano Mercado, LVN
• Alyssa Rose Serrano
• Jeremie Serrano, OTR/L
• Kimberly Serrano
• Stephanie Serrano, BA

• Family Medicine Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.