Alicia Lynn Gomez Bakkum, NP

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

2013 Issued in CA

Practice address

2700 Grant St
Suite 102
Concord, CA 94520-2266

Phone

(925) 674-2052

Fax

(925) 674-2076

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alicia Lynn Gomez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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.

• John Muir Health

  • Pharmacy
  • Walnut Creek, CA
  • NPI 1366208688
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982793220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MARGARET CT",
            "city": "BAY POINT",
            "state": "CA",
            "postal_code": "945653055",
            "telephone_number": "925-261-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 GRANT ST",
            "address_2": "SUITE 102",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202266",
            "telephone_number": "925-674-2052",
            "fax_number": "925-674-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKUM",
        "first_name": "ALICIA",
        "middle_name": "LYNN GOMEZ",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14719",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "GOMEZ",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Baker, ATC
• Michelle Baker
• Philip Masao Baker, LMFT
• Yasmine Baker
• Meh Zareen Bakhtyar
• Jennifer Marie Bakowsky, M.A.,LMFT
• James Bakst, M.A.
• Anmol Bal
• Jeselyn Bala
• Vishidha Reddy Balankari

• Clinical Nurse Specialist in Concord, CA
• Providers in Concord, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.