Madison Gomez, MS, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

18558 San Felipe St
Fountain Valley, CA 92708-7119

Phone

(714) 514-2247

NPI assigned

Apr 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1487142667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18558 SAN FELIPE ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087119",
            "telephone_number": "714-514-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18558 SAN FELIPE ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087119",
            "telephone_number": "714-514-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MADISON",
        "credential": "MS, ATC, CES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Hour Eye Care Optometric Corporation
• Jo Anne Golden, PH.D.
• Philip Goldstein, MD
• Brian Goldstone, ABOC
• Candy Gomez
• Moises Gomez
• Joeanna Marie Pamela Gonzales
• Kayla Marie Gonzales
• Anita Gonzalez, BT
• Citlalli Gonzalez, DPT

• Athletic Trainer in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.