Evelyn L Gomez, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A132475 Issued in CA

Practice address

11899 Shaw PL
Hanford, CA 93230-6644

Phone

(559) 537-0192

Fax

(559) 585-3449

NPI assigned

May 14, 2012

Last updated

Sep 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1336408194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11899 SHAW PL",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932306644",
            "telephone_number": "559-537-0192",
            "fax_number": "559-585-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11899 SHAW PL",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932306644",
            "telephone_number": "559-537-0192",
            "fax_number": "559-585-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "EVELYN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A132475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Forker Glossbrenner, MD
• Isaac Godinho, ASW
• Rebecca Ann Goforth
• Candice Datoc Golez, M.D.
• Araceli Gomez
• Jose Gomez
• Maria Teresa Gomez
• Victoria Gomez
• Neelima Gondi, M.D.
• Phyldres Diana Balmeo Gonzaga

• Adult Medicine Physician in Hanford, CA
• Providers in Hanford, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.