Raquel Argentina Gomez
Individual provider Active NPI General Practice Dentistry · Jamul, CA
NPI 1902780489 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1902780489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4479763 (ZZ)
- Practice address
- 13553 Vista Sage LN
Jamul, CA 91935-3023 - Phone
- (619) 361-7103
- Fax
- (619) 785-3404
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4479763 | ZZ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4479763 | ZZ | Yes |
Addresses
Primary practice location
13553 Vista Sage LN
Jamul, CA 91935-3023
Mailing address
3554 Sunset LN Unit 32
San Ysidro, CA 92173-4506
Phone (619) 361-7103
Other providers in Jamul, CA
- Karla Atzin Diaz
- Stacy Renee Dimartino
- Jazmine Escobar
- Maida Patricia Ferraes
- Skye Garmo
- Greater San Diego Academy
- Alissa Hemminger
- Jamul Dulzura Union School District
- Saivan Kattoula
- Darla Ruth Mudge Laatsch
All providers in Jamul, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.