Individual provider Active NPI

Ricardo M Gomez, M.D.

  • Pulmonary Disease Physician
  • Apple Valley, CA
National Provider Identifier
1790053528
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A134736 Issued in CA
Practice address
18012 Wika Rd
Apple Valley, CA 92307-2125
Phone
(442) 292-2358
Fax
(949) 695-4153
NPI assigned
Dec 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 263568-1 NY
Pulmonary Disease Physician 207RP1001X A134736 CA Primary

Addresses

Primary practice location

18012 Wika Rd
Apple Valley, CA 92307-2125

Mailing address

18092 Wika Rd Ste 220
Apple Valley, CA 92307-2132
Phone (760) 515-6260

Other practice location 1

16850 Bear Valley Rd
Victorville, CA 92395-5795
Phone (760) 241-8000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150820011864 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4183939036 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians
High Desert Pulmonary Associates IncGroup PAC ID 0648504050, 2 clinicians

Practice addresses (Care Compare)

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

18012 Wika Rd
Apple Valley, CA 92307-2125
Phone (442) 292-2358

18092 Wika Rd
Suite 220
Apple Valley, CA 92307-2132
Phone (442) 292-2358

Hospital & facility affiliations

  • Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
  • Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300
  • Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517
  • Barstow Community Hospital Hospital, Barstow, CA, CCN 050298
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
263568-1NYMDInternal Medicine Physician
A134736CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc. Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Sep 1, 2015 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
High Desert Lung Center Pulmonary Disease CurrentSince May 8, 2024 Accepting new patients
High Desert Pulmonary Associates, Inc Pulmonary Disease CurrentSince May 1, 2019 Accepting new patients
St. Mary Medical Center Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Locations

18012 Wika Rd
Apple Valley, CA 92307
Phone (442) 292-2358

18092 Wika Rd
Ste 220
Apple Valley, CA 92307
Phone (760) 515-6260

18092 Wika Rd
Ste 130
Apple Valley, CA 92307
Phone (442) 292-2358

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

16850 Bear Valley Rd
Ste 204
Victorville, CA 92395

12550 Hesperia Rd
Ste 100
Victorville, CA 92395

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ricardo.gomez.p1@direct.dvmg.nextgenshare.com
  • Direct secure messaging: rgomez@yourcarecommunity.org

Organizations & group practices 12

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1790053528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18092 WIKA RD STE 220",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072132",
            "telephone_number": "760-515-6260",
            "fax_number": "949-863-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18012 WIKA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072125",
            "telephone_number": "442-292-2358",
            "fax_number": "949-695-4153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16850 Bear Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923955795",
            "country_code": "US",
            "telephone_number": "760-241-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "RICARDO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "263568-1",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A134736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.