Active NPI
Adriana Gomez
- Behavior Technician
- San Diego, CA
National Provider Identifier
1750851945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-1579-114645
- Practice address
- 11770 Bernardo Plaza CT Ste 350
San Diego, CA 92128-2426 - Phone
- (818) 241-6780
- Fax
- (818) 241-6853
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-1579-114645 | CA | Primary |
Addresses
Primary practice location
11770 Bernardo Plaza CT Ste 350
San Diego, CA 92128-2426
Mailing address
100 N Pacific Coast Hwy Ste 140
El Segundo, CA 90245-4359
Phone (888) 922-2843
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 |
|---|---|---|---|
| RBT-18-1579-114645 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1750851945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N PACIFIC COAST HWY STE 140",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454359",
"telephone_number": "888-922-2843",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11770 BERNARDO PLAZA CT STE 350",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282426",
"telephone_number": "818-241-6780",
"fax_number": "818-241-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "ADRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-18-1579-114645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.