Jeremy V Gomer MD PHD Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JEREMY V GOMER MD PHD PROFESSIONAL MEDICAL CORPORATION

Doing business as

Virtue Primary Care

Practice address

27403 Ynez Rd Ste 108
Temecula, CA 92591-4619

Phone

(951) 750-7888

Fax

(951) 750-7899

NPI assigned

Feb 4, 2021

Last updated

Dec 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Vethan GomerNPI 1841789229

Title

Ceo

Phone

(951) 750-7888

Specialties & licenses 1

Addresses

Other names 1

• Virtue Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Vethan Gomer, MD, PHD

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1841789229
  Medicare reassignment Care Compare group NPD Authorized official
• Syed Awais Ahmed, MD

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1932858818
  Medicare reassignment Care Compare group NPD
• Evelyn Nieves

  • Family Nurse Practitioner
  • Temecula, CA
  • NPI 1720758980
  Medicare reassignment NPD
• Nozomi Kimura, NP-C

  • Family Nurse Practitioner
  • Temecula, CA
  • NPI 1770346025
  NPD (past)

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1851983662",
    "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",
            "telephone_number": "909-533-0786"
        },
        {
            "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": {
        "organization_name": "JEREMY V GOMER MD PHD PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "GOMER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "VETHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-750-7888"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virtue Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maggie Jennings
• Alison R. Jensen, DVM
• Jeremy Gomer MD Mobile Providers
• Jeremy Gomer MD Specialty Corporation
• Jeremy Jay Sewell DMD PC
• Suezanne Jerez, LCSW
• Nathan Jergensen, D.M.D.
• Tal Dean Jergensen, D.D.S.
• Jerry Hernandez DDS Inc
• Aruno Nakhro Jerskey, FNP

• Internal Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.