Active NPI
Mark Anthony Gomes II
- Adult Companion
- Modesto, CA
National Provider Identifier
1497150783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 500 N 9TH St Ste D
Modesto, CA 95350-5814 - Phone
- (209) 552-2754
- NPI assigned
- Oct 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
500 N 9TH St Ste D
Modesto, CA 95350-5814
Mailing address
500 N 9TH St
Modesto, CA 95350-5814
Phone (209) 552-2754
Other practice location 1
300 E 15th St Ste B
Merced, CA 95341-6217
Phone (209) 381-6879
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Stanislaus | Current | Accepting new patients | |
| County of Merced | Current | Accepting new patients |
Locations
300 E 15th St
Ste B
Merced, CA 95341
Phone (209) 381-6879
500 N 9th St
Ste D
Modesto, CA 95350
Phone (209) 552-2754
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 and National Provider Directory roles.
-
- Psychiatric Hospital
- Merced, CA
- NPI 1013030808
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1578691903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1497150783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N 9TH ST",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505814",
"telephone_number": "209-552-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N 9TH ST STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505814",
"telephone_number": "209-552-2754"
}
],
"practiceLocations": [
{
"address_1": "300 E 15th St Ste B",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953416217",
"country_code": "US",
"telephone_number": "209-381-6879",
"fax_number": "209-725-3775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMES",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-29",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.