KEVIN MIGUEL GOMEZ (NPI# 1891334504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891334504 |
| Entity Type | Individual |
| Full Name | KEVIN MIGUEL GOMEZ |
| Practice Address |
36 S Kinneloa Ave Pasadena CA 91107-3853 |
| Mailing Address |
1600 W Huntington Dr Apt 1i Alhambra CA 91801-1234 |
| Practice Telephone | 6268443033 |
| Mailing Telephone | 6263426683 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 281775 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346892874 | Kevin Ibarra Gomez | Marriage & Family Therapist | 2124 Main St Ste 165, Huntington Beach, CA 92648-6429 | 2019-07-15 |
| 1073522827 | Kevin Gomez | Obstetrics & Gynecology | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2006-08-07 |
| Street Address |
36 S KINNELOA AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780706770 | Stephanie D. Bennett | Marriage & Family Therapist | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2007-04-03 |
| 1184272106 | Bridgette Tsekani Frazier | Counselor | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-09-03 |
| 1801443585 | Evelyn De La Cruz | Student in an Organized Health Care Education/Training Program | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-08-19 |
| 1205482510 | Izabella Bagdasarian | Counselor | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-08-13 |
| 1205493806 | Cedric Jones Sr. | Counselor | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-05-20 |
| 1902462013 | Laura Manning | Counselor | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-05-14 |
| 1053884908 | Charmaine Hurst | Counselor | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2019-01-03 |
| 1457840373 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2018-05-07 |
| 1295237907 | Ashley Ayanna Wilson | Rehabilitation Practitioner | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2018-03-08 |
| 1467962035 | Edwina Mendoza Maling | Case Manager/Care Coordinator | 36 S Kinneloa Ave, Pasadena, CA 91107-3853 | 2017-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459827 | Lataysha Chervette Ruffin | Licensed Vocational Nurse | 1744 Jenkins Rd Apt 1004, Pasadena, TX 77506-4972 | 2019-10-24 |
| 1679126395 | Emeredith Sigala | Licensed Vocational Nurse | 5400 Crenshaw Rd Apt 12104, Pasadena, TX 77505-3151 | 2019-07-22 |
| 1033681754 | Monica Nicole Vanegas | Licensed Vocational Nurse | 914 Valerie Ave, Pasadena, TX 77502-3820 | 2018-12-19 |
| 1750881546 | Angel Guerrero | Licensed Vocational Nurse | 312 W Hart Ave, Pasadena, TX 77506-4439 | 2018-02-18 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629519640 | Morgan Kerr-totten | Licensed Vocational Nurse | 455 West Montanna St, Pasadena, CA 91103-1019 | 2017-03-09 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1639507718 | Shudney Lane Ferrer | Licensed Vocational Nurse | 1318 Corson St Apt 6, Pasadena, CA 91106-1555 | 2013-10-28 |
| Find all providers in PASADENA | ||||
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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.