Individual provider Active NPI

Erika L. Gomez, PA-C

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1417489287
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11792 Issued in TX
Practice address
110 E Savannah Ave # 204
McAllen, TX 78503-1241
Phone
(956) 686-4040
NPI assigned
Mar 31, 2017
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11792 TX Primary

Addresses

Primary practice location

110 E Savannah Ave # 204
McAllen, TX 78503-1241

Mailing address

110 E Savannah Ave # 204
McAllen, TX 78503-1241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521001928 TX Practitioner - Physician Assistant 3779982889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sobia Nasir MD PAGroup PAC ID 3779741194, 3 clinicians

Practice addresses (Care Compare)

702 W University Dr
Edinburg, TX 78539-3242
Phone (956) 383-0714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11792TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
RGV Primary Care, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erika.gomez.1@33726.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1417489287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE # 204",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE # 204",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031241",
            "telephone_number": "956-686-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ERIKA",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.