Individual provider Active NPI

Gerardo Sanchez Gomez, R.D.H.A.P.

  • Dental Hygienist
  • Anaheim, CA
National Provider Identifier
1649687559
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP630 Issued in CA
Practice address
610 S Claudina St
Anaheim, CA 92805-4729
Phone
(714) 260-6871
NPI assigned
Jul 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 28216 CA
Dental Hygienist 124Q00000X HAP630 CA Primary

Addresses

Primary practice location

610 S Claudina St
Anaheim, CA 92805-4729

Mailing address

610 S. Claudina St.
Anaheim, CA 92805
Phone (714) 260-6871

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

State licenses

LicenseStateTypeSpecialty
28216CAMDMarriage & Family Therapist
HAP630CAMDDental Hygienist

Interoperability endpoints

  • Direct secure messaging: gerardo.gomez@vcc.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1649687559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S. CLAUDINA ST.",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92805",
            "telephone_number": "714-260-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S CLAUDINA ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054729",
            "telephone_number": "714-260-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "GERARDO",
        "middle_name": "SANCHEZ",
        "credential": "R.D.H.A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "28216",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.