Active NPI
Holocene Nursing Practice PC
- Psychiatric/Mental Health Nurse Practitioner
- San Diego, CA
National Provider Identifier
1275449860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HOLOCENE NURSING PRACTICE PC
- Practice address
- 18523 Caminito Pasadero Unit 354
San Diego, CA 92128-1071 - Phone
- (619) 853-5578
- Fax
- (619) 830-5132
- NPI assigned
- Aug 22, 2026
- Last updated
- Aug 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystaloren Gomez, FNP-BC, PMHNP-BC
- Title
- President
- Phone
- (708) 830-4575
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
18523 Caminito Pasadero Unit 354
San Diego, CA 92128-1071
Mailing address
18523 Caminito Pasadero Unit 354
San Diego, CA 92128-1071
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- San Diego, CA
- NPI 1184406522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787356800000",
"number": "1275449860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18523 CAMINITO PASADERO UNIT 354",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921281071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18523 CAMINITO PASADERO UNIT 354",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921281071",
"telephone_number": "619-853-5578",
"fax_number": "619-830-5132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLOCENE NURSING PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-22",
"last_updated": "2026-08-22",
"certification_date": "2026-08-22",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "CRYSTALOREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-830-4575",
"authorized_official_credential": "FNP-BC, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.