Active NPI
Daniel Gomez, P.A.
- Medical Physician Assistant
- Raymondville, TX
National Provider Identifier
1487079752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA05902
- Practice address
- 640 S Expy 77 Ste 2
Raymondville, TX 78580-4241 - Phone
- (956) 689-4120
- NPI assigned
- Feb 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA05902 | TX | Primary |
Addresses
Primary practice location
640 S Expy 77 Ste 2
Raymondville, TX 78580-4241
Mailing address
640 S Expy 77 Ste 2
Raymondville, TX 78580-4241
Phone (956) 689-4120
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05902 | TX | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1487079752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S EXPY 77 STE 2",
"city": "RAYMONDVILLE",
"state": "TX",
"postal_code": "785804241",
"telephone_number": "956-689-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S EXPY 77 STE 2",
"city": "RAYMONDVILLE",
"state": "TX",
"postal_code": "785804241",
"telephone_number": "956-689-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "DANIEL",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-24",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA05902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raymondville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.