Active NPI
Alejandra Gomez
- Pharmacist
- Antioch, CA
National Provider Identifier
1710462825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77385
- Practice address
- 4501 Sand Creek Rd
Antioch, CA 94531-8687 - Phone
- (925) 813-6500
- NPI assigned
- Sep 25, 2018
- Last updated
- Sep 25, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 77385 | CA | Primary |
Addresses
Primary practice location
4501 Sand Creek Rd
Antioch, CA 94531-8687
Mailing address
1887 Isla del Campanero
San Ysidro, CA 92173-1825
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
| License | State | Type | Specialty |
|---|---|---|---|
| 77385 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1710462825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 ISLA DEL CAMPANERO",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921731825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 SAND CREEK RD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318687",
"telephone_number": "925-813-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "ALEJANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-25",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.