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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARK ANTHONY GOMEZ SUDRC 1
NPI 1023912086
Counselor - Addiction (Substance Use Disorder) in Redding, CA

Active since October 05, 2026
3617 RICARDO AVE, REDDING, CA 96002(530) 722-1114 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Mark Anthony Gomez Sudrc 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ANTHONY GOMEZ SUDRC 1 (NPI 1023912086) is an individual addiction (substance use disorder) provider in Redding, California, licensed in California (26444) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1023912086
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK ANTHONY GOMEZCredential: SUDRC 1
Location Address3617 RICARDO AVERedding, CA 96002-2653
Mailing Address3617 Ricardo AveRedding, CA 96002-2653 · (530) 722-1114
Phone(530) 722-1114
Sole ProprietorYes
Enumeration DateOctober 5, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1023912086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 26444
3617 RICARDO AVE, Redding, CA 96002
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN L MIRANDA
Counselor (Addiction (Substance Use Disorder))
3617 RICARDO AVE
REDDING, CA 96002
Shasta County (530) 722-1114
MICHELLE LILLIAN MARSHALL RADT
Counselor (Addiction (Substance Use Disorder))
3617 RICARDO AVE
REDDING, CA 96002
Shasta County (530) 722-1114
ORIN S CRITTENDON SUDRC
Counselor (Addiction (Substance Use Disorder))
3617 RICARDO AVE
REDDING, CA 96002
Shasta County (530) 722-1114
LORI ELIZABETH CRAVENS
Counselor (Addiction (Substance Use Disorder))
3617 RICARDO AVE
REDDING, CA 96002
Shasta County (307) 221-1145
JENNIFER LYNN NIEMANN
Counselor (Addiction (Substance Use Disorder))
3617 RICARDO AVE
REDDING, CA 96002
Shasta County (530) 722-1114
ANDREA NICHOLE EDWARDS COUNSELOR
Counselor (Addiction (Substance Use Disorder))
3617 RICARDO AVE
REDDING, CA 96002
Shasta County (530) 722-1114
COURTNEY L RABIDEAU
Counselor (Addiction (Substance Use Disorder))
3617 RICARDO AVE
REDDING, CA 96002
Shasta County (530) 722-1114
ALEXANDRIA YVETTE DUGGAN MFT TRAINEE, SUDCC
Counselor (Addiction (Substance Use Disorder))
3617 RICARDO AVE
REDDING, CA 96002
Shasta County (530) 722-1114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Gomez's NPI number?

The NPI number for Mark Gomez is 1023912086. It was assigned to this individual provider in the NPPES registry on October 5, 2026.

Where is Mark Gomez located?

Mark Gomez practices at 3617 Ricardo Ave, Redding, CA 96002. The listed phone number is (530) 722-1114.

What is Mark Gomez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Gomez was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.