NPIMap

Individual provider Active NPI

Rick J Gomez, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1366409971
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33677 Issued in AZ
Practice address
3201 W Peoria Ave
Suite C500
Phoenix, AZ 85029-4608
Phone
(602) 439-1200
Fax
(602) 439-1234
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33677 AZ Primary

Addresses

Primary practice location

3201 W Peoria Ave
Suite C500
Phoenix, AZ 85029-4608

Mailing address

3201 W Peoria Ave
Suite C500
Phoenix, AZ 85029-4608
Phone (602) 439-1200

Other identifiers 1

IdentifierTypeStateIssuer
920464MedicaidAZ

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greenway Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Next Level Facility LLC PastSince Nov 12, 2023 Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Rick J.Gomez, M.D.,PLLC Family Medicine Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Premier Physicians Group, PLLC PastSince Jul 1, 2021 Accepting new patients
Nextcare Arizona LLC Past Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3522/brand/1/csg/21/fhir/r4

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1366409971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "address_2": "SUITE C500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294608",
            "telephone_number": "602-439-1200",
            "fax_number": "602-439-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "address_2": "SUITE C500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294608",
            "telephone_number": "602-439-1200",
            "fax_number": "602-439-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "RICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920464",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.