GILLIAN GOMULKA


Address: 11201 Benton St, 112, Loma Linda, CA 92357-1000
Phone: 9098257084

GILLIAN GOMULKA (NPI# 1093930331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093930331
Entity Type Individual
Full Name GILLIAN GOMULKA
Credential RN
Practice Address 11201 Benton St
112
Loma Linda
CA 92357-1000
Mailing Address 11201 Benton St
Loma Linda
CA 92357-1000
Practice Telephone 9098257084
Practice Fax Number 9097773291
Mailing Telephone 9098257084
Mailing Fax Number 9095836232
Enumeration Date 2007-04-13
Last Update Date 2012-02-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
443868 CA Nursing Service Providers

Office Location

Street Address 11201 BENTON ST
112
City LOMA LINDA
State CA
Zip Code 92357-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841290558 Russell Evan Hoxie Jr. Internal Medicine 11201 Benton St, Loma Linda, CA 92357-1000 2005-07-22
1104435643 Megan Satre Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-07-30
1972111862 Aileen Nati Ludesirishoti Pharmacist 11201 Benton St, Loma Linda, CA 92357-1000 2020-07-17
1649894551 Bryan Lamont Brewer Social Worker 11201 Benton St, Loma Linda, CA 92357-1000 2020-06-05
1518580497 Nicole Kaye Whittle Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-26
1629690375 Kevin Alan Cox Student in an Organized Health Care Education/Training Program 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-15
1033731443 Joni Lynn Stanton Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-08
1134748536 Abednego Tamba Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-04-15
1447885884 Zachary Michael Cruz Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-03-05
1972141695 Tanya Lengvilas Pharmacist 11201 Benton St, Loma Linda, CA 92357-1000 2019-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679916027 Nicole Kristine Shah-ghassemzadeh Internal Medicine Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 2013-04-16
1760628598 Taranjit Natt Internal Medicine 11201 Benton St # 111-om, Loma Linda, CA 92357 2008-12-29
1548355076 Annette A Boyd -hampton Nurse Practitioner 11201 Benton St. -111g, Loma Linda, CA 92357 2006-10-03
1396830766 Maudie Cantrell Foy Nurse Practitioner 11201 Benton St. (11cp), Loma Linda, CA 92357 2006-10-03
1427154715 Kenneth Wong Pharmacist 11201 Benton St. (119), Loma Linda, CA 92357 2006-09-15
1801909577 Paul Lindberg Orthotist 11201 Benton St./121, Loma Linda, CA 92357 2006-08-16
1992728703 Harry Chen Pharmacist 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 2006-07-25
1699222661 Nathanial Benjaman Hawkins Psychologist 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 2016-09-07
1063877959 Irene Thung Pathology 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 2015-12-21
1033553375 Brian Chau Physical Medicine & Rehabilitation 11201 Benton Street, Department of Pm&r (mail Code 117), Loma Linda, CA 92357 2013-04-17
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

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1982220653 Karen Elizabeth Mitchell Registered Nurse County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 2020-06-18
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1154943926 Susan Guajardo Registered Nurse 2695 Country Ln, Westlake Village, CA 91361-5534 2020-05-14
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Competitor

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City LOMA LINDA
Zip Code 92357

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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