Dom Ernest L Gomez, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT297429 Issued in CA

Practice address

582 S Sunnyvale Ave
Sunnyvale, CA 94086-6125

Phone

(408) 523-3060

NPI assigned

Aug 15, 2019

Last updated

Oct 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1952957888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 S SUNNYVALE AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866125",
            "telephone_number": "408-523-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "DOM ERNEST",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gomezd10@sutterhealth.org",
            "affiliation": "N",
            "address_1": "582 S Sunnyvale Ave",
            "city": "Sunnyvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940866125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Golden State Diagnostic Inc (Sunnyvale Imaging Center)
• Golden Sunshine Health Inc
• Rachel Rebecca Goldstein, M.D.
• Keerthi Golla, DMD
• Radha Murali Gomatam, RPH
• Gordon Gee Gong, DMD
• Vivian Gong, DDS
• Bianca Gonzalez, NP
• Jonathan Anthony Gonzalez, MS, RDN, LD
• Jose A Gonzalez, LCSW

• Physical Therapist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.