DIANA GOMEZ (NPI# 1114434628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114434628 |
| Entity Type | Individual |
| Full Name | DIANA GOMEZ |
| Practice Address |
710 E 111th Pl Los Angeles CA 90059-1518 |
| Mailing Address |
4211 Avalon Blvd Los Angeles CA 90011-5622 |
| Practice Telephone | 3232330425 |
| Mailing Telephone | 3232330425 |
| Mailing Fax Number | 3232322366 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639713043 | Diana Gomez | Nurse Practitioner | 3407 Sw 15th Ave, Cape Coral, FL 33914-5185 | 2019-10-30 |
| 1841709797 | Diana Gomez | Occupational Therapist | 45-25 48 Street, Apt 3c, Woodside, NY 11377 | 2017-09-22 |
| 1457996464 | Diana Gomez | Behavioral Analyst | 6770 N West Ave Ste 105, Fresno, CA 93711-1399 | 2019-11-13 |
| 1457823510 | Diana Gomez | Behavior Technician | 206 S Washington St, Baltimore, MD 21231-2619 | 2018-12-28 |
| 1598264632 | Diana Gomez | Licensed Vocational Nurse | 8318 Jones Maltsberger Rd Ste 121, San Antonio, TX 78216-6552 | 2018-02-05 |
| 1043669880 | Diana M Gomez | Nurse Practitioner | 2 Park Ave, Yonkers, NY 10703-3402 | 2016-06-11 |
| 1952708638 | Diana Gomez | Counselor | 10981 San Diego Mission Rd, Suite 110, San Diego, CA 92108-2448 | 2014-11-25 |
| 1538572334 | Diana Gomez | Specialist | 1422 Harrison St, Oakland, CA 94612-3903 | 2014-06-09 |
| 1558617597 | Diana C Gomez | Community/Behavioral Health | 400 Harbor Blvd, Suite E, Belmont, CA 94002-4047 | 2012-07-27 |
| 1912216391 | Diana Maria Gomez | Social Worker | 1021 4th St, Ste B, Taft, CA 93268-2433 | 2010-10-01 |
| Street Address |
710 E 111TH PL |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134336811 | Kedren Community Mental Health Center | Clinic/Center | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2007-05-16 |
| 1942833926 | Sharon Smith | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2020-02-18 |
| 1417594193 | Laura Garcia | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2019-12-02 |
| 1245891563 | Emylie Ellis | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059 | 2019-06-26 |
| 1558829010 | Citlalli Gonzalez | Case Manager/Care Coordinator | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2019-03-04 |
| 1679045538 | Francisco Garcia | Case Manager/Care Coordinator | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2018-12-17 |
| 1750859658 | Julia Kravitz | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2018-11-08 |
| 1033694237 | Skylar Valles | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2018-10-03 |
| 1114402641 | Guadalupe Macias-vargas | Case Manager/Care Coordinator | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2018-10-01 |
| 1881170421 | Jessica Guerrero | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2018-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1245855725 | Ashley Ivette Berumen | Case Manager/Care Coordinator | 1900 W Slauson Ave, Los Angeles, CA 90047-1129 | 2020-06-10 |
| 1356965776 | Jennifer Yanovski | Case Manager/Care Coordinator | 316 W 2nd St Ste 202, Los Angeles, CA 90012-3527 | 2020-06-01 |
| 1841820560 | Kiara Imani Thomas | Case Manager/Care Coordinator | 226 E 103rd St, Los Angeles, CA 90003-4720 | 2020-01-22 |
| 1023648748 | Christopher Rivas | Case Manager/Care Coordinator | 1410 N Kenmore Ave Apt 5, Los Angeles, CA 90027-5826 | 2020-01-22 |
| 1396383782 | Candace Laolagi | Case Manager/Care Coordinator | 246 E 47th St, Los Angeles, CA 90011-3908 | 2019-12-16 |
| 1902448343 | Aster Libasu | Case Manager/Care Coordinator | 2619 Wilshire Blvd Apt 1005, Los Angeles, CA 90057-3461 | 2019-10-16 |
| 1831749456 | Jasmine Lynn Martinez | Case Manager/Care Coordinator | 6768 Lexington Ave, Los Angeles, CA 90038-1234 | 2019-09-16 |
| 1033762547 | John Charles Gutierrez | Case Manager/Care Coordinator | 4265 S Normandie Ave, Los Angeles, CA 90037-2324 | 2019-07-23 |
| 1609429976 | Vianey Colon | Case Manager/Care Coordinator | 11601 S Western Ave # O, Los Angeles, CA 90047-5006 | 2019-07-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
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| 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.