MS. MARTHA PATRICIA GOMEZ (NPI# 1851669964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851669964 |
| Entity Type | Individual |
| Full Name | MS. MARTHA PATRICIA GOMEZ |
| Practice Address |
1126 N Grand Ave Covina CA 91724-1551 |
| Mailing Address |
993 E 4th St Pomona CA 91766-2124 |
| Practice Telephone | 6269671667 |
| Mailing Telephone | 6269996838 |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2012-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700234390 | Martha Gomez | Technician, Other | 17455 Nw 75th Pl Apt 201, Hialeah, FL 33015-7138 | 2016-05-24 |
| 1477700797 | Martha Gomez | Social Worker | 1707 S New Hampshire Ave, Los Angeles, CA 90006-4515 | 2008-08-19 |
| 1255343604 | Martha I Gomez | Psychologist | 8853 Commodity Cir, Suite 3, Orlando, FL 32819-9010 | 2006-08-13 |
| 1003822651 | Martha Yanetty Gomez | Internal Medicine | Carr 21 U 3 19, Las Lomas, San Juan, PR 00921 | 2006-08-01 |
| 1962018820 | Martha Dennisse Gomez | Occupational Therapist | 1140 W 50th St, Hialeah, FL 33012-3440 | 2020-09-16 |
| 1699384313 | Martha Evelyn Gomez | Behavior Technician | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2020-07-28 |
| 1942818794 | Martha Gomez | Behavior Technician | 87 W March Ln Ste 6, Stockton, CA 95207-5731 | 2020-07-17 |
| 1811531353 | Martha Gomez | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2019-10-28 |
| 1760882674 | Martha Gomez | Counselor | 614 Tully Rd, San Jose, CA 95111-1048 | 2014-08-27 |
| 1588085450 | Martha Gomez | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2013-12-19 |
| Street Address |
1126 N GRAND AVE |
| City | COVINA |
| State | CA |
| Zip Code | 91724-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316085046 | Michael Kevin Garrity | Marriage & Family Therapist | 1126 N Grand Ave, Ste D, Covina, CA 91724-1551 | 2007-02-02 |
| 1013555879 | Natasha Thompson I | Counselor | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-12-11 |
| 1891344990 | Timothy Harris | Case Manager/Care Coordinator | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-09-10 |
| 1083273254 | Abel Paul Lara | Student in an Organized Health Care Education/Training Program | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-06-11 |
| 1700445186 | Adilene Edith Alaniz | Counselor | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-06-10 |
| 1326604786 | Patricia Ramos | Case Manager/Care Coordinator | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-05-11 |
| 1740745991 | Christine Marie Elisabeth | Counselor | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-02-01 |
| 1750845533 | David Leonard Smith | Counselor | 1126 N Grand Ave, Covina, CA 91724-1551 | 2019-01-26 |
| 1124593991 | Luis Praxedis Lopez Hernandez | Case Manager/Care Coordinator | 1126 N Grand Ave, Covina, CA 91724-1551 | 2018-10-09 |
| 1609350552 | Mary Bernadette Sanchez | Case Manager/Care Coordinator | 1126 N Grand Ave, Covina, CA 91724-1551 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1386191963 | West Covina Group Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1274 Center Court Dr, #208, Covina, CA 91724 | 2016-09-01 |
| 1184094781 | Veronica May Roberts | Licensed Vocational Nurse | 222 S. Wilson Ave, Covina, CA 91724 | 2015-09-25 |
| 1912216292 | Joan Mendoza | Social Worker | 1338 Center Court Dr Ste 107, Covina, CA 91724 | 2010-10-04 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| 1093937310 | Heather Annn Pedevillano | Specialist/Technologist | 1805 E. Lomira Dr, Covina, CA 91724 | 2007-05-03 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1417014085 | Bernadette Luyun Guaring Bagay | Dentist | 984 E Badillo St, Suite E, Covina, CA 91724 | 2007-01-03 |
| Find all providers in zip 91724 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1619380227 | Stephanie Starks | Rehabilitation Practitioner | 508 -2nd St., Covina, CA 91723 | 2014-06-11 |
| 1437450210 | Anahuac I Lopez | Rehabilitation Practitioner | 451 S San Jose Ave, Covina, CA 91723-3056 | 2010-11-09 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1902035827 | Jean Margaret Lawson Saint Hill I | Rehabilitation Practitioner | 4626 N Grand Ave, Suite D, Covina, CA 91724-2055 | 2009-07-13 |
| 1285806075 | Joshua Allen Morrill | Rehabilitation Practitioner | 1411 N Grand Ave Ste 100, Covina, CA 91724-1005 | 2008-04-01 |
| 1477734374 | Artenson Carter | Rehabilitation Practitioner | 221 W Dexter St Apt 5, Covina, CA 91723-2538 | 2007-11-19 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1114057791 | Stacy Smith | Rehabilitation Practitioner | 1411 N Grand Ave, 100, Covina, CA 91724-1001 | 2007-03-06 |
| 1316073257 | Anthony Gonzales | Rehabilitation Practitioner | 19550 E Cienega Ave Apt 69, Covina, CA 91724-4012 | 2007-02-26 |
| Find all providers in COVINA | ||||
Please comment or provide details below to improve the information on MS. MARTHA PATRICIA 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.