JESUS ALFONSO GOMEZ (NPI# 1730430547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730430547 |
| Entity Type | Individual |
| Full Name | JESUS ALFONSO GOMEZ |
| Practice Address |
1958 Maverick Dr Plumas Lake CA 95961-9164 |
| Practice Telephone | 5306458454 |
| Mailing Telephone | 5306458454 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093111940 | Jesus Gomez Jr. | Specialist/Technologist, Other | 3501 South 1st, 128, Austin, TX 78704 | 2014-11-04 |
| 1396701561 | Jesus A. Gomez | Dentist | 6421 Saratoga Blvd, Building 101, Corpus Christi, TX 78414-3479 | 2006-04-25 |
| 1437637311 | Jesus Gomez | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-08-01 |
| 1912292467 | Jesus R Gomez | Nurse Anesthetist, Certified Registered | 2401 S 31st St, Temple, TX 76508-1532 | 2011-06-13 |
| 1528383437 | Jesus Eduardo Gomez | Emergency Medicine | 11234 Anderson St, Gme Office Cp 21005, Loma Linda, CA 92354-2804 | 2010-04-03 |
| 1346441086 | Jesus Valentin Gomez | Specialist | Munoz Rivera 41 Oeste, Rincon, PR 00677 | 2007-05-30 |
| 1609873504 | Jesus Alberto Gomez | Specialist | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2005-07-07 |
| Street Address |
1958 MAVERICK DR |
| City | PLUMAS LAKE |
| State | CA |
| Zip Code | 95961-9164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596315 | Shelby Marie Mclaughlin | Counselor | 471 Century Park Drive B, Yuba City, CA 95961 | 2019-03-07 |
| 1780125583 | Elia Moreno Thomas | Counselor | 1754 Skinner Ave, Olivehurst, CA 95961 | 2017-03-13 |
| 1356652549 | Hyesung Han | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961 | 2010-06-23 |
| 1225283195 | Pao Choua Lor | Driver | 4552 Meadow Wy, Olivehurst, CA 95961 | 2008-11-19 |
| 1235385725 | Thera Lynn Hampton | Specialist | 1345 Lady Fern St., Plumas Lake, CA 95961 | 2008-08-15 |
| 1841444049 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 5075 Olivehurst Avenue, Olivehurst, CA 95961-4023 | 2008-11-14 |
| 1699382192 | Ryan Sauer | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2020-09-28 |
| 1649721648 | Vandana Chaudhari | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2016-10-14 |
| 1679880850 | Tilak Baviskar | Pharmacist | 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 | 2010-09-08 |
| 1255464871 | Olivehurst Drug Store Inc | Pharmacy | 4897 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2007-03-13 |
| Find all providers in zip 95961 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1801497854 | Amor Serra | Counselor | 1543 Colusa Pl, Salinas, CA 93906-2512 | 2020-11-05 |
| 1003417080 | Mary Williams | Counselor | 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 | 2020-11-05 |
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417558974 | Diosa Marriage and Family Therapy PC | Counselor | 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 | 2020-11-02 |
| 1669072302 | Imani Rivers | Counselor | 135 Gateway Ct, Vallejo, CA 94589-4339 | 2020-10-30 |
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1093314536 | Ryan Tyler Corbin | Counselor | 9075 Elk Grove Blvd, Elk Grove, CA 95624-2070 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
| City | PLUMAS LAKE |
| Zip Code | 95961 |
Please comment or provide details below to improve the information on JESUS ALFONSO GOMEZ.
| 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.