Individual provider Active NPI

Guillermo A Gomez, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1659894673
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A151699 Issued in CA
Practice address
2051 Marengo St
Los Angeles, CA 90033-1352
Phone
(951) 233-2968
NPI assigned
Jul 21, 2017
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X A151699 CA Primary

Addresses

Primary practice location

2051 Marengo St
Los Angeles, CA 90033-1352

Mailing address

2051 Marengo St
Los Angeles, CA 90033-1352
Phone (951) 233-2968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20200713002038 CA Practitioner - Obstetrics/Gynecology 5496178287 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6926 Brockton Ave
Suite 7
Riverside, CA 92506-3804
Phone (951) 354-2229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A151699CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Javier Rios, a Medical Corporation CurrentSince Sep 1, 2020 Accepting new patients
Alessandro Medical Professional Corporation CurrentSince Sep 1, 2020 Accepting new patients
Dr. Javier Rios a Medical Corporation CurrentSince Sep 1, 2020 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Mar 1, 2024 Accepting new patients
Javier R Rios MD, a Professional Corporation Obstetrics & Gynecology CurrentSince Jul 30, 2020 Accepting new patients
Inland Empire Multispecialty Group PC Obstetrics & Gynecology Current Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince May 28, 2021 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Nov 15, 2025 Accepting new patients
Dr. Javier Rios, a Medical Corporation Obstetrics & Gynecology Current Accepting new patients
Javier R. Rios MD a Professional Corporation CurrentSince Jul 30, 2020 Accepting new patients
Alessandro Medical Professional Corporation Obstetrics & Gynecology Current Accepting new patients
Inland Empire Multispecialty Group PC Obstetrics & Gynecology CurrentSince Apr 1, 2022 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

1530 W 6th St
Corona, CA 92882

1530 W 6th St
Ste 109
Corona, CA 92882
Phone (951) 279-2171

495 E Rincon St
Ste 208
Corona, CA 92879

495 E Rincon St
Ste 215
Corona, CA 92879

141 N Main St
Lake Elsinore, CA 92530
Phone (951) 245-5003

File 50978
Los Angeles, CA 90074

13925 Indian St
Moreno Valley, CA 92553
Phone (213) 537-2927

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

21091 Rider St
Ste 218
Perris, CA 92570
Phone (951) 354-2229

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

4022 Chicago Ave
Riverside, CA 92507
Phone (951) 354-2229

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

6926 Brockton Ave
Ste 4
Riverside, CA 92506
Phone (844) 400-2236

6926 Brockton Ave
Ste 7
Riverside, CA 92506
Phone (951) 354-2229

9939 Magnolia Ave
Riverside, CA 92503
Phone (951) 687-8802

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1659894673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331352",
            "telephone_number": "951-233-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331352",
            "telephone_number": "951-233-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "GUILLERMO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A151699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.