MATT DAVID GOMEZ LVN NPI 1003417049

Licensed Vocational Nurse in Santa Ana, CA

NPI 1003417049 Individual Male Licensed Vocational Nurse

About MATT GOMEZ

Matt Gomez is a provider established in Santa Ana, California and his medical specialization is licensed vocational nurse. The NPI number of Matt Gomez is 1003417049 and was assigned on November 2020. The practitioner's primary taxonomy code is 164X00000X with license number 288987 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

Matt Gomez is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003417049

Provider Name MATT DAVID GOMEZ LVN
Provider Location Address1950 E 17TH ST SANTA ANA, CA 92705
Provider Mailing Address1950 E 17TH ST SANTA ANA, CA 92705
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date11-05-2020
Last Update Date11-05-2020


Primary Taxonomy

Taxonomy Code164X00000X
ClassificationLicensed Vocational Nurse
TypeNursing Service Providers
License No.288987
License StateCA
Taxonomy DescriptionAn 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.

Business Address

MATT DAVID GOMEZ LVN
1950 E 17TH ST
SANTA ANA, CA
ZIP 92705
Phone: (714) 547-5375

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Mailing Address

MATT DAVID GOMEZ LVN
1950 E 17TH ST
SANTA ANA, CA
ZIP 92705
Phone: (714) 547-5375



Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760838312APOLIS INDUSTRIAL MULTISPECIALTY INC.
Organization
Specialist1950 E 17TH ST SUITE 215
SANTA ANA, CA 92705
(714) 495-4050
1801242763CORNERSTONE OF SOUTHERN CALIFORNIA
Organization
Substance Abuse Rehabilitation Facility1950 E 17TH ST SUITE 150
SANTA ANA, CA 92705
(714) 547-5375
1902253560RECOVERY HOMES OF AMERICA INC
Organization
Substance Abuse Rehabilitation Facility1950 E 17TH ST #150
SANTA ANA, CA 92705
(714) 547-5375
1225698954 DIANE ELLEN SHAW CADAC LL
Individual
Counselor (Addiction (Substance Use Disorder))1950 E 17TH ST
SANTA ANA, CA 92705
(714) 547-4300
1245887892 ANNA CHERNITSKAYA
Individual
Counselor (Addiction (Substance Use Disorder))1950 E 17TH ST
SANTA ANA, CA 92705
(714) 547-5375
1134776784 DARLA RUTH SIMONS
Individual
Counselor (Addiction (Substance Use Disorder))1950 E 17TH ST
SANTA ANA, CA 92705
(714) 547-5375
1558918557 MARK BALLARD
Individual
Counselor1950 E 17TH ST
SANTA ANA, CA 92705
(714) 547-5375
1407403405 MARY LYNN FRITZ
Individual
Counselor (Addiction (Substance Use Disorder))1950 E 17TH ST
SANTA ANA, CA 92705
(714) 547-5375
1386252880 DANIELLE BERNADETTE GRANIELLO LPN
Individual
Licensed Vocational Nurse1950 E 17TH ST
SANTA ANA, CA 92705
(714) 730-5399
1902406846 ERNEST MARQUEZ
Individual
Counselor (Addiction (Substance Use Disorder))1950 E 17TH ST
SANTA ANA, CA 92705
(714) 547-4300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.