Angel R Gomez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29250 Issued in AZ

Practice address

325 E Baseline Rd
Phoenix, AZ 85042-6510

Phone

(602) 824-4352

Fax

(602) 824-4259

NPI assigned

May 5, 2006

Last updated

Jan 25, 2011By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• QRC Consulting LLC

  • Internal Medicine Physician
  • Massillon, OH
  • NPI 1982246773

  Family Medicine, TX

  Medicare reassignment NPD
• Quantify Bexa Services USA, LLC

  dba Sure, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Dallas, TX
  • NPI 1861142689
  NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1568410835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E BASELINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426510",
            "telephone_number": "602-824-4352",
            "fax_number": "602-824-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E BASELINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426510",
            "telephone_number": "602-824-4352",
            "fax_number": "602-824-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ANGEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "29250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584533",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "AZ0206250",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jihely Estefani Abigail Gomez Mendoza
• Jessica Marie Gomez Valadez, AA, RBT
• Deborah Gomez-Resendiz, PMHNP-BC
• Ana Gomez, MD
• Ana Mildred Gomez, MC, LPC
• Angela Gomez, RDN, SNS
• Anna M Gomez, CNM
• Annabella F Gomez, NIC
• Ashley Michelle Gomez, NP
• Ashley Nicole Gomez, FNP-C

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.

Verify at the official NPI Registry.