MARY GOMEZ
NPI 1255789657
Student in an Organized Health Care Education/Training Program in Venice, CA

Active since May 26, 2016
204 HAMPTON DRIVE, VENICE, CA 90291(310) 396-6468 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2017, Nov 4, 2016 (2 updates tracked since 2016).

About Mary Gomez NPPES

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

MARY GOMEZ (NPI 1255789657) is an individual student in an organized health care education/training program in Venice, California and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1255789657
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARY GOMEZ
Location Address204 HAMPTON DRIVEVenice, CA 90291
Mailing Address204 Hampton DrVenice, CA 90291-2623
Sole ProprietorNo
Enumeration DateMay 26, 2016
Last NPPES UpdateMarch 30, 20172 updates tracked since enumeration
NPI 1255789657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

204 HAMPTON DRIVE, Venice, CA 90291

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.

Voluntary or Charitable
204 HAMPTON DRIVE, ST JOSEPH CENTER
VENICE, CA 90291
Voluntary or Charitable
204 HAMPTON DRIVE, ST JOSEPH CENTER
VENICE, CA 90291
Voluntary or Charitable
204 HAMPTON DRIVE, ST JOSEPH CENTER
VENICE, CA 90291
Student in an Organized Health Care Education/Training Program
204 HAMPTON DRIVE
VENICE, CA 90291
Social Worker (Clinical)
204 HAMPTON DRIVE
VENICE, CA 90291
Case Manager/Care Coordinator
204 HAMPTON DRIVE
VENICE, CA 90291
Student in an Organized Health Care Education/Training Program
204 HAMPTON DRIVE
VENICE, CA 90291
Psychiatry & Neurology (Psychiatry)
204 HAMPTON DRIVE
VENICE, CA 90291

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 Mary Gomez's NPI number?

The NPI number for Mary Gomez is 1255789657. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Mary Gomez located?

Mary Gomez practices at 204 Hampton Drive, Venice, CA 90291. The listed phone number is (310) 396-6468.

What is Mary Gomez's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Gomez was last updated on March 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.