Active NPI
Jannette Gomez
- Technician/Technologist
- Loma Linda, CA
National Provider Identifier
1154293736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- 53901
- Practice address
- 11234 Anderson St
Loma Linda, CA 92350-1716 - Phone
- (909) 558-4000
- NPI assigned
- Sep 22, 2025
- Last updated
- Sep 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 53901 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St
Loma Linda, CA 92350-1716
Mailing address
16635 Century Plant Rd
Apple Valley, CA 92307-1905
Phone (909) 558-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53901 | Medicaid | CA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53901 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1154293736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16635 CENTURY PLANT RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071905",
"telephone_number": "909-558-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923501716",
"telephone_number": "909-558-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JANNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "CA",
"license": "53901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53901",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.