BRYAN GOMEZ XXX34392
NPI 1508017617
Licensed Psychiatric Technician in Glendora, CA

Q: What is Bryan Gomez's NPI number?

The NPI number for Bryan Gomez is 1508017617. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Q: What is Bryan Gomez's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Gomez was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.

Active since October 07, 2008

1172 SOUTH GRAND AVE, GLENDORA, CA 91740(626) 335-5980 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Bryan Gomez Xxx34392 NPPES

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

BRYAN GOMEZ XXX34392 (NPI 1508017617) is an individual licensed psychiatric technician in Glendora, California, licensed in California (34392) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1508017617

Entity TypeIndividualMale

Primary Taxonomy167G00000X

Provider Legal NameBRYAN GOMEZCredential: XXX34392

Location Address1172 SOUTH GRAND AVEGlendora, CA 91740

Mailing Address4122 Lincoln Ave.El Monte, CA 91731-2108 · (626) 454-2205

Phone(626) 335-5980

Sole ProprietorYes

Enumeration DateOctober 7, 2008

✔ NPI 1508017617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · 34392

Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

1172 SOUTH GRAND AVE, Glendora, CA 91740

Open in Google Maps ↗

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 Bryan Gomez's NPI number?

The NPI number for Bryan Gomez is 1508017617. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Bryan Gomez located?

Bryan Gomez practices at 1172 South Grand Ave, Glendora, CA 91740. The listed phone number is (626) 335-5980.

What is Bryan Gomez's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Bryan Gomez was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.