Active NPI
Ruben O. Gomez, M.D.
- Emergency Medicine Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A80959
- Practice address
- 1720 Termino Ave
Emergency Department
Long Beach, CA 90804-2104 - Phone
- (562) 494-0729
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A80959 | CA | Primary |
Addresses
Primary practice location
1720 Termino Ave
Emergency Department
Long Beach, CA 90804-2104
Mailing address
4551 Glencoe Ave
Suite 260
Marina del Rey, CA 90292-6385
Phone (310) 301-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A809590 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Temple University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (310) 933-2000
Hospital & facility affiliations
- Memorialcare Long Beach Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.51 of 100
- Quality
- 87.09
- Improvement activities
- 40
- Cost
- 78.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80959 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Emergency Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Medical Associates of Long Beach | Emergency Medicine | Past | Accepting new patients |
Locations
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
1720 Termino Ave
Long Beach, CA 90804
Phone (562) 494-0631
Interoperability endpoints
- rgomezmd18692@direct.memorialcare.org
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1871551119
-
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1386675015
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1669415105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4551 GLENCOE AVE",
"address_2": "SUITE 260",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926385",
"telephone_number": "310-301-2030",
"fax_number": "310-306-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 TERMINO AVE",
"address_2": "EMERGENCY DEPARTMENT",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908042104",
"telephone_number": "562-494-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "RUBEN",
"middle_name": "O.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A80959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A809590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.