Individual provider Active NPI

Teresita Gomez

  • Sports Medicine (Family Medicine) Physician
  • Campbell, CA
National Provider Identifier
1174020192
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A173769 Issued in CA
Practice address
50 E Hamilton Ave Ste 120
Campbell, CA 95008-0251
Phone
(408) 357-1410
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A173769 CA
Sports Medicine (Family Medicine) Physician 207QS0010X A173769 CA Primary

Addresses

Primary practice location

50 E Hamilton Ave Ste 120
Campbell, CA 95008-0251

Mailing address

50 E Hamilton Ave Ste 120
Campbell, CA 95008-0251
Phone (408) 357-1410

Other practice location 1

1333 Meridian Ave
San Jose, CA 95125-5212
Phone (407) 445-3400

Other practice location 2

757 Westwood Plz
Los Angeles, CA 90095-7419
Phone (310) 319-4711

Other practice location 3

455 OConnor Dr Ste 200
San Jose, CA 95128-1632
Phone (408) 283-7676

Other practice location 4

1642 E Capitol Expy
San Jose, CA 95121-1800
Phone (408) 445-3431

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
I20220808001905 CA Practitioner - Sports MedicinePractitioner - Family Practice 8820470891 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

50 E Hamilton Ave
Suite 120
Campbell, CA 95008-0251
Phone (408) 357-1410

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173769CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Mar 25, 2024 Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Sep 1, 2022 Accepting new patients
Stanford Health Care CurrentSince Mar 25, 2024 Accepting new patients
University Healthcare Alliance CurrentSince Mar 22, 2024 Accepting new patients
Indian Health Center of Santa Clara Valley Current Accepting new patients
Affinity Medical Group Past Accepting new patients
Indian Health Center of Santa Clara Valley Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

50 E Hamilton Ave
Ste 120
Campbell, CA 95008
Phone (408) 357-1410

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4256 Hacienda Dr
Ste 100
Pleasanton, CA 94588
Phone (925) 263-0313

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

455 Oconnor Dr
Ste 200
San Jose, CA 95128
Phone (408) 283-7666

1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112

1333 Meridian Ave
San Jose, CA 95125

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: tgomez595996@direct.ochin.org

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1174020192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E HAMILTON AVE STE 120",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080251",
            "telephone_number": "408-357-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HAMILTON AVE STE 120",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080251",
            "telephone_number": "408-357-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Meridian Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951255212",
            "country_code": "US",
            "telephone_number": "407-445-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900957419",
            "country_code": "US",
            "telephone_number": "310-319-4711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 OConnor Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281632",
            "country_code": "US",
            "telephone_number": "408-283-7676",
            "fax_number": "408-283-7646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1642 E Capitol Expy",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951211800",
            "country_code": "US",
            "telephone_number": "408-445-3431",
            "fax_number": "408-238-3874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "TERESITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A173769",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A173769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.