Individual provider Active NPI

Denise Gomez, M.D

  • Internal Medicine Physician
  • Oceanside, CA
National Provider Identifier
1407871817
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66289 Issued in CA
Practice address
605 Crouch St BLDG C
Oceanside, CA 92054-4415
Phone
(760) 757-4566
Fax
(760) 757-3004
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A66289 CA Primary

Addresses

Primary practice location

605 Crouch St BLDG C
Oceanside, CA 92054-4415

Mailing address

605 Crouch St BLDG C
Oceanside, CA 92054-4415
Phone (760) 757-4566

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060120000791 CA Practitioner - Internal Medicine 1951325687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Un of California, Irvine, College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North County Health Project IncGroup PAC ID 2769390939, 56 clinicians

Practice addresses (Care Compare)

150 Valpreda Rd
San Marcos, CA 92069-2973
Phone (619) 736-6700

1595 Grand Ave
San Marcos, CA 92078-2450
Phone (760) 736-6767

220 Rotanzi St
Ramona, CA 92065-2583
Phone (760) 789-1223

295 S Rancho Santa Fe Rd
San Marcos, CA 92078-2301
Phone (760) 736-6767

605 Crouch St
BLDG C
Oceanside, CA 92054-4415
Phone (760) 757-4566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A66289CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North County Health Project Inc Current Accepting new patients
North County Health Project Inc CurrentSince Jul 10, 2000 Accepting new patients
Palomar Health Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

605 Crouch St
Bldg C
Oceanside, CA 92054
Phone (760) 757-4566

150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dgomez312789@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1407871817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 CROUCH ST BLDG C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544415",
            "telephone_number": "760-757-4566",
            "fax_number": "760-757-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 CROUCH ST BLDG C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544415",
            "telephone_number": "760-757-4566",
            "fax_number": "760-757-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "DENISE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.