Haidee R Gomez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

31946 Mission TRL Ste B
Lake Elsinore, CA 92530-4539

Phone

(951) 471-4300

NPI assigned

Mar 2, 2020

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

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1770117434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31946 MISSION TRL STE B",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31946 MISSION TRL STE B",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304539",
            "telephone_number": "951-471-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "HAIDEE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Kibe Gitongu, RN
• Ashley Glass, LPCC
• Debra Gleason, LMFT
• Ana Paulina Godinez Romero, LCSW
• Brittany Mirela Gojcaj
• Jessica Ortega Gomez, M.S., PPS
• Crusita Eugenia Gonzales
• Joanna Elizabeth Gonzales
• Claudia Gonzalez
• Estevan Gonzalez

• Case Manager/Care Coordinator in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.