Individual provider Active NPI

Esteban Isaac Gomez, MD

  • Pediatric Hematology & Oncology Physician
  • Orange, CA
National Provider Identifier
1992900641
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
A116810 Issued in CA
Practice address
701 South Parker Street
Suite 1000
Orange, CA 92868-4306
Phone
(714) 221-1200
Fax
(714) 221-1299
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X A116810 CA Primary

Addresses

Primary practice location

701 South Parker Street
Suite 1000
Orange, CA 92868-4306

Mailing address

701 South Parker Street
Suite 1000
Orange, CA 92868-4306
Phone (714) 221-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027003199 CA Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 4284854498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A116810CAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders CurrentSince Aug 1, 2021 Accepting new patients
The Center for Comprehensive Care and Diagnosis of Inherited Blood Dis CurrentSince Aug 1, 2021 Accepting new patients
Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders Past Accepting new patients

Locations

701 S Parker St
Ste 1000
Orange, CA 92868
Phone (714) 221-1200

2670 N Main St
Ste 150
Santa Ana, CA 92705
Phone (714) 543-0542

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1992900641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SOUTH PARKER STREET",
            "address_2": "SUITE 1000",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684306",
            "telephone_number": "714-221-1200",
            "fax_number": "714-221-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SOUTH PARKER STREET",
            "address_2": "SUITE 1000",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684306",
            "telephone_number": "714-221-1200",
            "fax_number": "714-221-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ESTEBAN",
        "middle_name": "ISAAC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "A116810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.