Marco A Gomez Garcia, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A84263 Issued in CA

Practice address

1510 S Central Ave
Suite 340
Glendale, CA 91204-2500

Phone

(818) 240-4031

Fax

(818) 240-4035

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angelic Home Health Care, Inc. Home health agency, Canoga Park, CA, CCN 757880
• Secure Home Health Care Home health agency, Burbank, CA, CCN 059753
• Preferred Choice Home Health Care, Inc Home health agency, Reseda, CA, CCN 559037
• Premiere Hospice and Pallative Care, Inc Hospice, Reseda, CA, CCN B41774
• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
• Leisure Glen Post Acute Care Center Nursing home, Glendale, CA, CCN 055845

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Marco Gomez Garcia MD Inc

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1477621431
  Medicare reassignment NPD Authorized official
• Dignity Health

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)
• Glendale Adventist Medical Center

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1114916293
  NPD (past)

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

• Angelic Home Health Care, Inc.

  • Home Health Agency
  • Canoga Park, CA
  • NPI 1902556251
  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation
• Leisure Healthcare LLC

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1003540329

  Nursing home

  Care Compare affiliation
• Pegasus HH, Inc.

  • Home Health Agency
  • Burbank, CA
  • NPI 1255733234
  Care Compare affiliation
• Preferred Choice Home Health Care, Inc.

  • Home Health Agency
  • Reseda, CA
  • NPI 1417441411
  Care Compare affiliation
• Premiere Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Reseda, CA
  • NPI 1669056149
  Care Compare affiliation

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1265444129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE",
            "address_2": "SUITE 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042500",
            "telephone_number": "818-240-4031",
            "fax_number": "818-240-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE",
            "address_2": "SUITE 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042500",
            "telephone_number": "818-240-4031",
            "fax_number": "818-240-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ GARCIA",
        "first_name": "MARCO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A842630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden State Behavioral
• Golden State Behavioral Medical Group, Inc.
• Stephen B Goldman, DDS
• Juliana Marie Goldsby
• Elissa Beth Goldstein
• Daisy Gomez-Kovacs
• Kenia Gomez-Perez
• Albert Gomez
• Alexandria Yvonne Gomez
• Arianna Monique Gomez

• Internal Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.