Esteban Manuel Gomez I, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A40128 Issued in CA

Practice address

5101 Florence Ave
Suite 7
Bell, CA 90201

Phone

(323) 562-1217

Fax

(323) 562-1925

NPI assigned

Oct 20, 2006

Last updated

Aug 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1831271790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 FLORENCE AVE",
            "address_2": "SUITE 7",
            "city": "BELL",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-562-1217",
            "fax_number": "323-562-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 FLORENCE AVE",
            "address_2": "SUITE 7",
            "city": "BELL",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "323-562-1217",
            "fax_number": "323-562-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ESTEBAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Glide Care Transportation (Nonemergency medical transportation)
• Fatima Ali Ghacham
• Telesia Glenn
• Brenda Gomez, DNP
• Carolina Gomez, LVN
• Belem Gonzalez
• Joseph Gonzalez
• GS Castillo DDS Dental Corporation (Bell Dental Group)
• Noemi Adriana Gutierrez, PA-C
• Priscilla Johanna Guzman

• General Practice Physician in Bell, CA
• Providers in Bell, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.