DIEGO FELIPE GOMEZ MD
NPI 1174225510
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Diego Gomez's NPI number?

The NPI number for Diego Gomez is 1174225510. It was assigned to this individual provider in the NPPES registry on March 20, 2023. The provider is also known as Diego Felipe Gomez Blanco MD.

Q: What is Diego Gomez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Diego Gomez was last updated on March 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2023PECOS Enrolled

1200 N STATE ST CLINIC TOWER SUITE A7D, LOS ANGELES, CA 90089(323) 409-7053 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Diego Felipe Gomez Md NPPES

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

DIEGO FELIPE GOMEZ MD (NPI 1174225510) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174225510

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDIEGO FELIPE GOMEZCredential: MD

Location Address1200 N STATE ST CLINIC TOWER SUITE A7DLos Angeles, CA 90089-0001

Mailing Address1200 N State St Clinic Tower Suite A7dLos Angeles, CA 90089-0001 · (323) 409-7053

Phone(323) 409-7053

Sole ProprietorNo

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 20, 2023

✔ NPI 1174225510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1200 N STATE ST CLINIC TOWER SUITE A7D, Los Angeles, CA 90089

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Other Names 1

Former Name (1)Diego Felipe Gomez Blanco Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diego Felipe Gomez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

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