Organization Active NPI

Eunice Marie Alvare Gomez

  • Adult Care Home Facility
  • San Diego, CA
National Provider Identifier
1184032872
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
710743 Issued in CA
Legal business name
EUNICE MARIE ALVARE GOMEZ
Practice address
10410 Eagle Canyon Rd
San Diego, CA 92127-7866
Phone
(310) 756-8098
NPI assigned
Jul 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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

Authorized official

Name
Eunice Marie Alvarez Gomez, NP
Title
RN
Phone
(310) 756-8098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 710743 CA Primary

Addresses

Primary practice location

10410 Eagle Canyon Rd
San Diego, CA 92127-7866

Mailing address

10410 Eagle Canyon Rd
San Diego, CA 92127-7866
Phone (310) 756-8098

Other identifiers 1

IdentifierTypeStateIssuer
710743OtherCACALIFORNIA LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406332800000",
    "number": "1184032872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 EAGLE CANYON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921277866",
            "telephone_number": "310-756-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 EAGLE CANYON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921277866",
            "telephone_number": "310-756-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNICE MARIE ALVARE GOMEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ GOMEZ",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "310-756-8098",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "710743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "710743",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.