Nelson Gomez Jr., PHD

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Practice address

12 Rancho Camino Dr
Ste 102
Pomona, CA 91766-7008

Phone

(909) 865-8500

Fax

(909) 865-8552

NPI assigned

Mar 12, 2009

Last updated

Apr 19, 2016By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Cognitive Care Solutions Group Inc

  • Cognitive & Behavioral Psychologist
  • Santa Ana, CA
  • NPI 1548614183
  Medicare reassignment NPD
• St Moises Dental

  • General Practice Dentistry
  • Pomona, CA
  • NPI 1285899443
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1326289828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RANCHO CAMINO DR",
            "address_2": "STE 102",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917667008",
            "telephone_number": "909-865-8500",
            "fax_number": "909-865-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RANCHO CAMINO DR",
            "address_2": "STE 102",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917667008",
            "telephone_number": "909-865-8500",
            "fax_number": "909-865-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "NELSON",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7068",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PSY27761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Gomez
• Jassel Gomez
• Jerardo Gomez
• Juan Gomez Jr.
• Monique Gomez
• Nicole Jenique Gomez
• Roberto Gomez
• Sergio Rene Gomez, MD
• Ublester Gomez, DDS
• Karissa Gonyea, LCSW

• Rehabilitation Counselor in Pomona, CA
• Providers in Pomona, CA by specialty
• Rehabilitation Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.