RAFAEL AMAYA GOMEZ (NPI# 1902115439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902115439 |
| Entity Type | Individual |
| Full Name | RAFAEL AMAYA GOMEZ |
| Other Name | RAFAEL AMAYA ORTIZ-GOMEZ |
| Practice Address |
3002 Armstrong St San Diego CA 92111-5702 |
| Mailing Address |
3340 Kemper St Suite 101 San Diego CA 92110-4906 |
| Practice Telephone | 8582779550 |
| Mailing Telephone | 6197581433 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 8544 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124478821 | Rafael Gomez | Case Manager/Care Coordinator | 1600 E Belle Terrace, Bakersfield, CA 93307 | 2016-06-14 |
| 1811134216 | Rafael Eligio Gomez Jr. | Internal Medicine | 1222 Molokai Rd, Jacksonville, FL 32216-3276 | 2009-01-07 |
| 1609972751 | Rafael T. Gomez | Psychiatry & Neurology | 1200 Ne 55th Boulevard, Nfetc, Gainesville, FL 32641-2759 | 2006-09-16 |
| 1841646619 | Rafael Gomez | Counselor | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2016-05-10 |
| 1326256132 | Rafael Gomez | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2007-05-18 |
| 1447207923 | Rafael Gomez | Emergency Medicine | 311 Morrow St N, Mena, AR 71953-2516 | 2006-05-28 |
| Street Address |
3002 ARMSTRONG ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649348061 | Ariel Mirana Fletcher | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2006-12-01 |
| 1962002683 | Jina Paola Chavarro Cubides | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2020-10-30 |
| 1467059717 | Sarah Amanda Stewart | Licensed Vocational Nurse | 3002 Armstrong St, San Diego, CA 92111-5702 | 2020-10-08 |
| 1316554926 | Madison Vermazen | Student in an Organized Health Care Education/Training Program | 3002 Armstrong St, San Diego, CA 92111-5702 | 2020-09-28 |
| 1053928655 | Nina Lauren Galvan | Student in an Organized Health Care Education/Training Program | 3002 Armstrong St, San Diego, CA 92111-5702 | 2020-09-28 |
| 1326654419 | Filiberto Alejandro Lopez | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2020-09-23 |
| 1477169613 | Ana Urena Rosario | Student in an Organized Health Care Education/Training Program | 3002 Armstrong St, San Diego, CA 92111-5702 | 2020-09-22 |
| 1013523240 | Ayana Jones | Student in an Organized Health Care Education/Training Program | 3002 Armstrong St, San Diego, CA 92111-5702 | 2020-09-22 |
| 1518573351 | Jasmine Yolanda Orozco | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2020-09-17 |
| 1942814223 | Rachel Ruth Katz | Student in an Organized Health Care Education/Training Program | 3002 Armstrong St, San Diego, CA 92111-5702 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| 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 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
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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.