Active NPI
Jeffrey R Gomez
- Case Manager/Care Coordinator
- Vancouver, WA
National Provider Identifier
1588578884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2410 Grand Blvd
Vancouver, WA 98661-4630 - Phone
- (360) 226-7656
- Fax
- (360) 226-7656
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 7, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | WA | Primary | |
| Peer Specialist | 175T00000X | WA |
Addresses
Primary practice location
2410 Grand Blvd
Vancouver, WA 98661-4630
Mailing address
2410 Grand Blvd
Vancouver, WA 98661-4630
Phone (360) 226-7656
Other practice location 1
3214 St Johns Blvd
Vancouver, WA 98661-3725
Phone (360) 226-7656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1588578884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 GRAND BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986614630",
"telephone_number": "360-226-7656",
"fax_number": "360-226-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 GRAND BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986614630",
"telephone_number": "360-226-7656",
"fax_number": "360-226-7656"
}
],
"practiceLocations": [
{
"address_1": "3214 St Johns Blvd",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986613725",
"country_code": "US",
"telephone_number": "360-226-7656",
"fax_number": "360-226-7656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "JEFFREY",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WA",
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.