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CRYSTALOREN M. GOMEZ FNP-BC, PMHNP-BC
NPI 1184406522
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since October 19, 2023PECOS Enrolled
13223 BLACK MOUNTAIN RD, STE 1 PMB 1014, SAN DIEGO, CA 92129(619) 853-5578 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 12, 2026, Mar 25, 2026, Dec 7, 2023 and 2 more (5 updates tracked since 2023).

About Crystaloren M. Gomez Fnp-bc, Pmhnp-bc NPPES

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

CRYSTALOREN M. GOMEZ FNP-BC, PMHNP-BC (NPI 1184406522) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95027133) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1184406522
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCRYSTALOREN M. GOMEZCredential: FNP-BC, PMHNP-BC
Location Address13223 BLACK MOUNTAIN RD, STE 1 PMB 1014San Diego, CA 92129-2699
Mailing Address13223 Black Mountain Rd Ste 1, Ste 1 Pmb 1014San Diego, CA 92129-2699 · (619) 853-5578
Phone(619) 853-5578
Sole ProprietorNo
Enumeration DateOctober 19, 2023
Last NPPES UpdateJune 10, 20265 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1184406522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CA · 95027133✔ Licensed in AZ · 336868✔ Licensed in NM · 88797
13223 BLACK MOUNTAIN RD, San Diego, CA 92129
Open in Google Maps ↗

Secondary Practice Locations 9

Location 131361 Riverside DrLake Elsinore, CA 92530-7807 · Phone (844) 308-5003 · Fax (760) 414-3892
Location 24700 N River RdOceanside, CA 92057-6043 · Phone (760) 631-5000 · Fax (760) 414-3892
Location 3517 N Horne StOceanside, CA 92054-2518 · Phone (760) 631-5000 · Fax (760) 414-3892
Location 4818 Pier View WayOceanside, CA 92054-2803 · Phone (760) 631-5000 · Fax (760) 414-3892
Location 5134 Grapevine RdVista, CA 92083-4004 · Phone (760) 631-5000 · Fax (760) 414-3892
Location 61000 Vale Terrace DrVista, CA 92084-5218 · Phone (760) 631-5000 · Fax (760) 414-3892
Location 7321 E Alvarado StFallbrook, CA 92028-2912 · Phone (760) 723-6200 · Fax (760) 414-3892
Location 8105 Durian St Ste BVista, CA 92083-6230 · Phone (760) 631-5000 · Fax (760) 414-3892
Location 9201 S Harbor BlvdLA Habra, CA 90631-5654 · Phone (562) 264-6000 · Fax (760) 414-3892

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystaloren M. Gomez Fnp-bc, Pmhnp-bc 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Crystaloren Gomez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minuteclinic Diagnostic Medical Group Of San Diego Inc
13 mi
Family
2760 FLETCHER PKWY
El Cajon, CA 92020
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
NPI 1568659233 (866) 389-2727
Minuteclinic Diagnostic Medical Group Of Orange County Inc
64 mi
Nurse Practitioner
14330 CULVER DR
Irvine, CA 92604
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
NPI 1104013879 (866) 389-2727
Minuteclinic Diagnostic Medical Group Of California Inc
109 mi
Family
511 N HOLLYWOOD WAY
Burbank, CA 91505
  • Reassigned Medicare billing, California enrollment
  • 236 clinicians in this Medicare group
NPI 1033309372 (866) 389-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

ALEXANDRA MARILYN ADAMOS DPT
Physical Therapist
13223 BLACK MOUNTAIN RD
SAN DIEGO, CA 92129
San Diego County (858) 753-5082
CAROLINA CASTILLO MS, OTR/L
Occupational Therapist
13223 BLACK MOUNTAIN RD
SAN DIEGO, CA 92129
San Diego County (858) 529-5536
THERESA RUSSELL
Marriage & Family Therapist
13223 BLACK MOUNTAIN RD, STE 1 #1037
SAN DIEGO, CA 92129
San Diego County (240) 688-9035
BAILEY WALKER PT, DPT
Physical Therapist
13223 BLACK MOUNTAIN RD
SAN DIEGO, CA 92129
San Diego County (858) 753-5082

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 Crystaloren Gomez's NPI number?

The NPI number for Crystaloren Gomez is 1184406522. It was assigned to this individual provider in the NPPES registry on October 19, 2023.

Where is Crystaloren Gomez located?

Crystaloren Gomez practices at 13223 Black Mountain Rd Ste 1 Pmb 1014, San Diego, CA 92129. The listed phone number is (619) 853-5578.

What is Crystaloren Gomez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Crystaloren Gomez enrolled in Medicare?

Yes. Crystaloren Gomez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Crystaloren Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystaloren Gomez reassigns Medicare benefits to 3 organizations: Minuteclinic Diagnostic Medical Group Of San Diego Inc (El Cajon, CA), Minuteclinic Diagnostic Medical Group Of Orange County Inc (Irvine, CA) and Minuteclinic Diagnostic Medical Group Of California Inc (Burbank, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystaloren Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Crystaloren Gomez was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.