Organization Active NPI

Jeremy Gomer MD Specialty Corporation

  • Specialist
  • Temecula, CA
National Provider Identifier
1417800095
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JEREMY GOMER MD SPECIALTY CORPORATION
Practice address
27403 Ynez Rd Ste 111
Temecula, CA 92591-5603
Phone
(951) 750-7888
NPI assigned
Feb 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Jeremy Gomer, MDNPI 1841789229
Title
Owner
Phone
(909) 533-0786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

27403 Ynez Rd Ste 111
Temecula, CA 92591-5603

Mailing address

27403 Ynez Rd Ste 111
Temecula, CA 92591-5603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260608004072 CA Part B Supplier - Clinic/Group Practice 5698246825 Receives reassigned benefits from 2 practitioners
Practice locations: Temecula, CA

National Provider Directory

National Provider Directory

Locations

27403 Ynez Rd
Ste 110
Temecula, CA 92591

27403 Ynez Rd
Ste 111
Temecula, CA 92591
Phone (951) 750-7888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1417800095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD STE 111",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD STE 111",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915603",
            "telephone_number": "951-750-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY GOMER MD SPECIALTY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "GOMER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-533-0786",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.