MR. MARK ANTHONY GOMES II (NPI# 1497150783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497150783 |
| Entity Type | Individual |
| Full Name | MR. MARK ANTHONY GOMES II |
| Practice Address |
300 E 15th St Ste B Merced CA 95341-6217 |
| Practice Telephone | 2093816879 |
| Practice Fax Number | 2097253775 |
| Mailing Telephone | 2093816879 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
300 E 15TH ST STE B |
| City | MERCED |
| State | CA |
| Zip Code | 95341-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366578973 | Patricia Medina | Social Worker | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2007-02-26 |
| 1104426378 | Jiemh Laoh Thung | Counselor | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2020-10-27 |
| 1083244784 | Ariana Pacheco Cadena | Licensed Vocational Nurse | 300 E 15th St Ste B, Merced, CA 95341 | 2020-01-22 |
| 1649800418 | Jaime Cortez | Licensed Vocational Nurse | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2020-01-21 |
| 1477192409 | Alicia Marie Tresidder | Licensed Vocational Nurse | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2019-12-20 |
| 1871148023 | Gaddy Yesenia Herrera | Licensed Vocational Nurse | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2019-08-05 |
| 1831663046 | Delaney P Delgado | Licensed Psychiatric Technician | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2019-01-22 |
| 1700300050 | Jess Reyes Valenzuela | Licensed Psychiatric Technician | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2017-07-28 |
| 1235524125 | Jing Yi Reyes | Licensed Vocational Nurse | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2015-03-30 |
| 1689068546 | Teresa Lozano | Licensed Vocational Nurse | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2015-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1043874100 | Phyllis A Patterson | Peer Specialist | 490 E 13th Street, Merced, CA 95341 | 2019-04-24 |
| 1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
| 1528444148 | Mirian Cardenas | Counselor | 301 E 13th St Ste D, Merced, CA 95341 | 2015-08-05 |
| 1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
| 1235417171 | Mayla T Carlos | Physician Assistant | 847 W. Childs Ave., Merced, CA 95341 | 2011-07-26 |
| 1588951883 | Altia N Johnson | Registered Nurse | 260 E 15th Street, Merced, CA 95341 | 2011-07-07 |
| 1598061657 | County of Merced | Clinic/Center | 490 E. 13th Street, Merced, CA 95341 | 2011-02-07 |
| 1275710741 | Kathryn Renee Rodriguez | Social Worker | 2777 N Highway 59, Merced County Adult Services, Merced, CA 95341 | 2008-01-28 |
| 1700060324 | Irene Miranda-henson | Registered Nurse | 797 West Childs Avenue, Merced, CA 95341 | 2007-12-18 |
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| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043874100 | Phyllis A Patterson | Peer Specialist | 490 E 13th Street, Merced, CA 95341 | 2019-04-24 |
| 1225677867 | Keng Kue Vue | Peer Specialist | 301 E 13th St, Merced, CA 95341-6211 | 2019-12-30 |
| 1306483672 | Amanda Beliveau | Peer Specialist | 301 E 13th St, Merced, CA 95341-6211 | 2019-12-05 |
| 1386281731 | Laura Rachell Ramirez | Peer Specialist | 301 E 13th St, Merced, CA 95341-6211 | 2019-12-04 |
| 1376180802 | Zhane Mejino | Peer Specialist | 301 E 13th St, Merced, CA 95341-6211 | 2019-12-03 |
| 1164063350 | Jesus M Lopez-gonzalez | Peer Specialist | 301 E 13th St, Merced, CA 95341-6211 | 2019-09-30 |
| 1528616521 | Julius Marvell Sweet | Peer Specialist | 301 E 13th St Ste B, Merced, CA 95341-6211 | 2019-09-03 |
| 1104483247 | Alana Reyna | Peer Specialist | 301 E 13th St, Merced, CA 95341-6211 | 2019-05-23 |
| 1588228068 | Joseph Angel Gonzalez | Peer Specialist | 301 E 13th St, Merced, CA 95341-6211 | 2019-04-30 |
| 1194389536 | David Demetrio Torres Jr. | Peer Specialist | 301 E 13th St, Merced, CA 95341-6211 | 2019-04-30 |
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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.