Active NPI
Francisco Gomez, PH.D.
- Forensic Psychologist
- San Diego, CA
National Provider Identifier
1275789703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 15682
- Practice address
- 325 W. Washington St. Ste. 2, #117
San Diego, CA 92103 - Phone
- (619) 518-4045
- Fax
- (619) 923-0000
- NPI assigned
- Aug 15, 2008
- Last updated
- Aug 15, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 15682 | CA | Primary |
Addresses
Primary practice location
325 W. Washington St. Ste. 2, #117
San Diego, CA 92103
Mailing address
325 W. Washington St. Ste. 2, #117
San Diego, CA 92103
Phone (619) 518-4045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15682 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1275789703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W. WASHINGTON ST. STE. 2, #117",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "619-518-4045",
"fax_number": "619-923-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W. WASHINGTON ST. STE. 2, #117",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "619-518-4045",
"fax_number": "619-923-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "FRANCISCO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-15",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "15682",
"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 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.