Individual provider Active NPI

India Gomez, PHD

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1225461403
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30098 Issued in CA
Practice address
2940 Summit St Ste 2D
Oakland, CA 94609
Phone
(510) 926-6829
NPI assigned
Aug 12, 2013
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY30098 CA Primary

Addresses

Primary practice location

2940 Summit St Ste 2D
Oakland, CA 94609

Mailing address

2940 Summit St Ste 2D
Oakland, CA 94609-3416
Phone (510) 926-6829

Other practice location 1

1918 Bonita Ave
Berkeley, CA 94704-1014
Phone (510) 926-6829

Other practice location 2

4713 1st St Ste 258
Pleasanton, CA 94566-7361
Phone (510) 926-6829

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726002996 CA Practitioner - Clinical Psychologist 9638426240 Reassigns benefits to 1 organization
Practice locations: Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2940 Summit St
2D
Oakland, CA 94609-3416

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY30098CAMDClinical Psychologist
30098CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
India B. Gomez, PH.D., Psychologist, a Professional Corporation Clinical CurrentSince Jan 1, 2026 Accepting new patients

Locations

2940 Summit St
Ste 2D
Oakland, CA 94609
Phone (510) 423-3055

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1225461403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SUMMIT ST STE 2D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093416",
            "telephone_number": "510-926-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 SUMMIT ST STE 2D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-926-6829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1918 Bonita Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947041014",
            "country_code": "US",
            "telephone_number": "510-926-6829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4713 1st St Ste 258",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945667361",
            "country_code": "US",
            "telephone_number": "510-926-6829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "INDIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.