Active NPI
Richard Louis Gomez, MD
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1609049972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G43792
- Practice address
- 480 Alta Rd
Dept of Mental Health Services Rjdcf
San Diego, CA 92179 - Phone
- (619) 661-6500
- NPI assigned
- Apr 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G43792 | CA | Primary |
Addresses
Primary practice location
480 Alta Rd
Dept of Mental Health Services Rjdcf
San Diego, CA 92179
Mailing address
480 Alta Rd
Dept of Mental Health Services Rjdcf
San Diego, CA 92179
Phone (619) 661-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G43792 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of California Prison Industry Authority | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- San Diego, CA
- NPI 1356558001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1609049972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 ALTA RD",
"address_2": "DEPT OF MENTAL HEALTH SERVICES RJDCF",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92179",
"telephone_number": "619-661-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 ALTA RD",
"address_2": "DEPT OF MENTAL HEALTH SERVICES RJDCF",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92179",
"telephone_number": "619-661-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "RICHARD",
"middle_name": "LOUIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G43792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.