NPIMap

Individual provider Active NPI

Jeremy Vethan Gomer, MD, PHD

  • Internal Medicine Physician
  • Temecula, CA
National Provider Identifier
1841789229
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A165223 Issued in CA
Practice address
27403 Ynez Rd Ste 108
Temecula, CA 92591-4619
Phone
(951) 750-7888
Fax
(951) 750-7899
NPI assigned
May 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A165223 CA Primary

Addresses

Primary practice location

27403 Ynez Rd Ste 108
Temecula, CA 92591-4619

Mailing address

1881 Commercenter E Ste 208
San Bernardino, CA 92408-3443

Other practice location 1

1881 Commercenter E Ste 208
San Bernardino, CA 92408-3443
Phone (909) 533-0786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304001023 CA Practitioner - Internal Medicine 4284040916 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Univ of Central Florida, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeremy V Gomer MD PHD Professional Medical CorporationGroup PAC ID 3375959000, 2 clinicians
Jeremy Gomer MD Mobile ProvidersGroup PAC ID 4486130259, 3 clinicians

Practice addresses (Care Compare)

1881 Commercenter E
Suite 208
San Bernardino, CA 92408-3443
Phone (951) 750-7888

27403 Ynez Rd
Suite 108
Temecula, CA 92591-4619
Phone (951) 750-7888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A165223CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremy Gomer MD Mobile Providers Internal Medicine CurrentSince Nov 2, 2025 Accepting new patients
Jeremy Gomer MD Specialty Corporation CurrentSince Mar 10, 2026 Accepting new patients
Total Care Hospice & Palliative CurrentSince Nov 22, 2023 Accepting new patients
Jeremy V Gomer MD PHD Professional Medical Corporation Internal Medicine CurrentSince Feb 4, 2021 Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Freedom Properties-Hemet LLC PastSince Mar 1, 2023 Accepting new patients

Locations

31571 Canyon Estates Dr
Ste 225
Lake Elsinore, CA 92532
Phone (714) 878-5873

29798 Haun Rd
Ste 209
Menifee, CA 92586
Phone (951) 672-4200

5675 Ruffin Rd
Ste 200
San Diego, CA 92123
Phone (714) 463-3528

1881 Commercenter E
Ste 208
Sn Bernrdno, CA 92408
Phone (909) 533-0786

27403 Ynez Rd
Ste 108
Temecula, CA 92591
Phone (951) 693-3312

27403 Ynez Rd
Ste 110
Temecula, CA 92591

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jeremy.gomer@virtue.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hemet Hills Post AcuteHemet, CA, CCN 555297 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2024
Jan 22, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 12

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1841789229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 COMMERCENTER E STE 208",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD STE 108",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914619",
            "telephone_number": "951-750-7888",
            "fax_number": "951-750-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1881 Commercenter E Ste 208",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083443",
            "country_code": "US",
            "telephone_number": "909-533-0786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMER",
        "first_name": "JEREMY",
        "middle_name": "VETHAN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A165223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.