Active NPI
Maria Paola Martes Gomez, D.O.
- Pediatrics Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A17035
- Practice address
- 1200 N State St
Cta7D
Los Angeles, CA 90033-1029 - Phone
- (323) 409-5707
- NPI assigned
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20A17035 | CA | Primary |
Addresses
Primary practice location
1200 N State St
Cta7D
Los Angeles, CA 90033-1029
Mailing address
1200 N State St
Cta7D
Los Angeles, CA 90033-1029
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mmartesgomez@dhs.lacounty.gov | Health Information Exchange (HIE) |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17035 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Pediatrics | Current | Accepting new patients |
| Children'S Hospital Los Angeles Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Single Specialty | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Single Specialty | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Single Specialty | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Locations
7223 Church St
Ste C1
Highland, CA 92346
Phone (909) 425-3946
25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828
11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11234 Anderson St
#3400
Loma Linda, CA 92350
Phone (909) 558-4771
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26780 Barton Rd
Redlands, CA 92373
Phone (909) 558-5174
Interoperability endpoints
- mmartesgomez1215507@direct.llu.edu
Organizations & group practices 6
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.
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- Multi-Specialty Clinic/Center
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- NPI 1265530653
Single Specialty
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- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
Single Specialty
-
- Neurological Surgery Physician
- Loma Linda, CA
- NPI 1194775122
Single Specialty
-
- Pediatrics Physician
- Redlands, CA
- NPI 1235189911
-
- Pediatrics Physician
- Highland, CA
- NPI 1689624991
Single Specialty
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1265963136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "CTA7D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "CTA7D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-409-5707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTES GOMEZ",
"first_name": "MARIA",
"middle_name": "PAOLA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "20A17035",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mmartesgomez@dhs.lacounty.gov",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1200 N State St",
"address_2": "CTA7D",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900331029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.