Mary Louise Gomes Tindle, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

18780 Issued in CA

Practice address

909 Hyde St
Suite 322 Dr Jerome Goldstein MD
San Francisco, CA 94109-4822

Phone

(415) 673-4600

Fax

(415) 673-9532

NPI assigned

Apr 17, 2007

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 names 1

• Ms. Mary Louise Gomes Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mary.tindle.1@17060.direct.athenahealth.com

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.

• Jerome Goldstein MD a Professional Corporation

  • Specialist
  • San Francisco, CA
  • NPI 1396882544
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1578788071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 CALIFORNIA ST APT 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094964",
            "telephone_number": "415-474-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST",
            "address_2": "SUITE 322 DR JEROME GOLDSTEIN MD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094822",
            "telephone_number": "415-673-4600",
            "fax_number": "415-673-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMES TINDLE",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "18780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GOMES",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Danielle M Golomb, MD
• Maedeh Golshirazi
• Amy Vienna Golsong
• Anthony Golsorkhi, MD
• Leah Golub
• Meredith Mariel Gomes, DDS, MD
• Yasmin Gomes
• Axel Omer Gomez Casarez
• Yesenia Gomez Jimenez
• Mayra Alejandra Gomez Padua, PHD

• Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.