Sylvia Maytorena Gomez

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

116662 Issued in CA

Practice address

2695 S 4TH St
El Centro, CA 92243-6012

Phone

(760) 482-4033

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• El Centro Adult Substance Use Disorder Treatment Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Centro, CA
  • NPI 1972791408
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710024203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 S 4TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 S 4TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436012",
            "telephone_number": "760-482-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SYLVIA",
        "middle_name": "MAYTORENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "116662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisca Gomez
• Jazmine Gomez
• Joseph Gomez
• Miguel Angel Gomez Jr.
• Sabastian R Gomez
• Maricela Gonzalez-Arroyo
• Alejandra Gonzalez
• Ashley Lorraine Gonzalez, RN
• Beatriz Stephanie Gonzalez
• Breanna Gonzalez

• Licensed Vocational Nurse in El Centro, CA
• Providers in El Centro, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.