Michele A. Gomez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A77883 Issued in CA

Practice address

1720 El Camino Real
Ste. #165
Burlingame, CA 94010-3224

Phone

(650) 692-0977

Fax

(650) 259-5840

NPI assigned

Nov 20, 2006

Last updated

Jan 4, 2016By the provider in NPPES

Sex

Female

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 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Aaron Mellor Roland, M.D.

  • Family Medicine Physician
  • Burlingame, CA
  • NPI 1669556361
  Medicare reassignment
• David C. Klonoff, M.D., Inc.

  • Medical Specialty Clinic/Center
  • Foster City, CA
  • NPI 1174763866
  NPD (past)
• Enara Health Group, P.C.

  dba Enara Health Group

  • Obesity Medicine (Internal Medicine) Physician
  • San Mateo, CA
  • NPI 1063817823
  NPD (past)
• Mills-Peninsula Health Services

  • General Acute Care Hospital
  • Burlingame, CA
  • NPI 1518937051
  NPD (past)
• Planned Parenthood Mar Monte, Inc

  • Community Health Clinic/Center
  • San Jose, CA
  • NPI 1043263189
  NPD (past)
• Sutter Bay Medical Foundation

  dba Palo Alto Medical Foundation

  • Clinical Medical Laboratory
  • Santa Clara, CA
  • NPI 1669287033
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1285708594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "STE. #165",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103224",
            "telephone_number": "650-692-0977",
            "fax_number": "650-259-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "STE. #165",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103224",
            "telephone_number": "650-692-0977",
            "fax_number": "650-259-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MICHELE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A77883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA LICENSE NUMBER",
            "identifier": "A77883",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI TAXONOMY",
            "identifier": "207Q00000X",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A778830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Glezer, M.D.
• Siu Wai Goh
• Golden State Heart & Vascular Associates (Bay Area Vein and Vascular Center, Inc.)
• Golden State Surgery Centers, LLC
• Linna Golodriga, DDS
• Betsy Analy Gongora
• Jacqueline Gonzalez
• Marina Gonzalez, OT
• Silvia Gonzalez, PA-C
• Denise Ann Good, RN

• Family Medicine Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.

Verify at the official NPI Registry.