Gomez Health, a Physician Assistant Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GOMEZ HEALTH, A PHYSICIAN ASSISTANT CORPORATION

Practice address

1820 W Orangewood Ave Ste 105
Orange, CA 92868-5052

Phone

(657) 246-3658

Fax

(562) 451-3026

NPI assigned

Jul 7, 2023

Last updated

Jul 7, 2023By 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

Erica Ambrozevicius Gomez, DMSC, MPAP, PA-CNPI 1316044282

Title

Owner, President

Phone

(657) 246-3658

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Erica Ambrozevicius Gomez, DMSC, MPAP, PA-C

  • Physician Assistant
  • Fullerton, CA
  • NPI 1316044282
  NPD Authorized official

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1184302374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SAN JOSE AVE",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315035",
            "telephone_number": "626-383-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W ORANGEWOOD AVE STE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685052",
            "telephone_number": "657-246-3658",
            "fax_number": "562-451-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMEZ HEALTH, A PHYSICIAN ASSISTANT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "AMBROZEVICIUS",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "657-246-3658",
        "authorized_official_credential": "DMSC, MPAP, PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CHARMEMR",
            "affiliation": "N",
            "endpointDescription": "EMR software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1820 W Orangewood Ave Ste 105",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928685052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maryam Golshan Momeni, M.D.
• Kiarash Golshani, M.D.
• Saily Gomez Batista
• Diana Lizbeth Gomez Chavez
• Luz D Gomez Garcia
• Dei Amairani Gomez Lyons
• Zuleyka Gomez Rojas
• Marlon Gomez Smith
• Lesly Nicole Gomez Vargas
• Jasmine Gomez-Guerrero

• Family Medicine Physician in Orange, CA
• Providers in Orange, 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 Jul 7, 2023; 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.