Active NPI
Hugo Edgardo Gomez-Engler, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- La Mesa, CA
National Provider Identifier
1144508995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- A33949
- Practice address
- 5525 Grossmont Center Dr
Suite 609
La Mesa, CA 91942-3009 - Phone
- (619) 466-5700
- Fax
- (619) 460-8975
- NPI assigned
- Jul 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A33949 | CA | Primary |
| Vascular Surgery Physician | 2086S0129X | A33949 | CA |
Addresses
Primary practice location
5525 Grossmont Center Dr
Suite 609
La Mesa, CA 91942-3009
Mailing address
5525 Grossmont Center Dr
Suite 609
La Mesa, CA 91942-3009
Phone (619) 466-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GW765A | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33949 | CA | MD | Pharmacy Technician |
Interoperability endpoints
- hgomezengler181935@direct.llu.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1144508995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 GROSSMONT CENTER DR",
"address_2": "SUITE 609",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423009",
"telephone_number": "619-466-5700",
"fax_number": "619-460-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 GROSSMONT CENTER DR",
"address_2": "SUITE 609",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423009",
"telephone_number": "619-466-5700",
"fax_number": "619-460-8975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ-ENGLER",
"first_name": "HUGO",
"middle_name": "EDGARDO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-28",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A33949",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A33949",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GW765A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.