Sandra Yanira Gomez

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

RDA78245 Issued in CA

Practice address

3380 La Sierra Ave Ste 108
Riverside, CA 92503-5225

Phone

(951) 465-6982

NPI assigned

Jan 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandra Yanira Gomez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1497219604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 SERRANO DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991744",
            "telephone_number": "714-559-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 LA SIERRA AVE STE 108",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035225",
            "telephone_number": "951-465-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SANDRA",
        "middle_name": "YANIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA78245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RDA78245",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "GOMEZ",
            "middle_name": "YANIRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy B. Gomez
• Rosa Gomez
• Rosa Elia Gomez, D.S.W.
• Rosemarie Gomez
• Roxana Gomez
• Seth Gomez
• Tianna Gomez
• Valeria Teresa Gomez
• Victor Gomez Jr., B.A.
• Lucas Gongora

• Dental Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.