Active NPI
Kayla Ann Gomez, PA
- Physician Assistant
- Ridgecrest, CA
National Provider Identifier
1548826290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA65356
- Practice address
- 1 Administration Cir BLDG 1403
Ridgecrest, CA 93555 - Phone
- (760) 939-8000
- NPI assigned
- May 17, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 023644 | NY | |
| Physician Assistant | 363A00000X | PA61201703 | WA | |
| Physician Assistant | 363A00000X | PA65356 | CA | Primary |
Addresses
Primary practice location
1 Administration Cir BLDG 1403
Ridgecrest, CA 93555
Mailing address
1 Administration Cir BLDG 1403
Ridgecrest, CA 93555-6104
Phone (760) 939-8000
Other practice location 1
535 E 70th St
New York, NY 10021-4823
Phone (212) 606-1000
Other practice location 2
275 SE Cabot Dr Ste B101
Oak Harbor, WA 98277-3740
Phone (360) 675-6648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211118000762 | WA | Practitioner - Physician Assistant | 7719216845 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023644 | NY | MD | Speech-Language Pathologist |
| PA65356 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WGH Primary Care Associates, P.S. | Current | Accepting new patients | |
| Whidbey Island Public Hospital District | Past | Accepting new patients |
Locations
275 SE Cabot Dr
Ste B101
Oak Harbor, WA 98277
Phone (360) 675-6648
Interoperability endpoints
- kayla.gomez@wh.jhie.net
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.
-
- Family Medicine Physician
- Oak Harbor, WA
- NPI 1427229186
-
- Rural Health Clinic/Center
- Oak Harbor, WA
- NPI 1982116901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1548826290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ADMINISTRATION CIR BLDG 1403",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935556104",
"telephone_number": "760-939-8000",
"fax_number": "760-939-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ADMINISTRATION CIR BLDG 1403",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "93555",
"telephone_number": "760-939-8000"
}
],
"practiceLocations": [
{
"address_1": "535 E 70th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100214823",
"country_code": "US",
"telephone_number": "212-606-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 SE Cabot Dr Ste B101",
"address_purpose": "LOCATION",
"city": "Oak Harbor",
"state": "WA",
"postal_code": "982773740",
"country_code": "US",
"telephone_number": "360-675-6648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "KAYLA",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-17",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "023644",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61201703",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA65356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.