Guillermo J Gomez MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A69815 Issued in CA

Legal business name

GUILLERMO J GOMEZ MD INC

Practice address

3750 Arlington Ave
Riverside, CA 92506-2607

Phone

(951) 774-3050

Fax

(951) 774-3182

NPI assigned

May 13, 2009

Organization subpart

No

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

Authorized official

Name

Guillermo J Gomez, MDNPI 1538137898

Title

President

Phone

(951) 774-3050

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 6

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.

• Guillermo Javier Gomez, M.D

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1538137898
  Authorized official Same address or phone
• Susan Suen, NP

  • Family Nurse Practitioner
  • Rialto, CA
  • NPI 1013425818
  NPD
• Juan M. Acosta, MD

  • Pediatric Surgery Physician
  • Phoenix, AZ
  • NPI 1467423772

  Family Medicine

  NPD
• Afia Ahmed

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1720624141
  NPD
• Singh Ahn Boun, MD

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1801855028
  NPD (past)
• Robert Wing Chan, MD

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1508826488
  NPD (past)

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1346474723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7277",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925137277",
            "telephone_number": "951-774-3050",
            "fax_number": "951-774-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062607",
            "telephone_number": "951-774-3050",
            "fax_number": "951-774-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO J GOMEZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-774-3050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A698151",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A698150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Guile
• Brandy Guiliano
• Ashley N Guillen
• Guadalupe Guillen
• Tiffany Guillen
• Nikolas Andrew Guitron
• Raj Gulati, DO
• Amanda Mikayla Gull
• STP Journey Gulles, NP
• Sardar Gulraiz

• Family Medicine Physician in Riverside, CA
• Providers in Riverside, 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 Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.