Jorge Gomez Jr.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

53626 Issued in CA

Practice address

3605 E Anaheim St Unit 103
Long Beach, CA 90804-6418

Phone

(310) 614-0157

NPI assigned

Jun 3, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Special Service for Groups, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Los Angeles, CA
  • NPI 1982735932
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1922267111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 E ANAHEIM ST UNIT 103",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908046418",
            "telephone_number": "310-614-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 E ANAHEIM ST UNIT 103",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908046418",
            "telephone_number": "310-614-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15455 San Fernando Mission Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451353",
            "country_code": "US",
            "telephone_number": "818-408-9284",
            "fax_number": "818-847-7830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JORGE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Gomez
• Angeles Gomez
• Cinthia Gomez
• Diane Gomez
• Isis G Gomez
• Karen Gomez
• Laura Elena Gomez
• Leticia Gomez
• Lina Gomez, MD
• Lissette Pryscilla Gomez, M.D.

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.