1. Home
  2. Directory
  3. California
  4. San Bernardino
  5. Counselor
  6. NPI Profile

ADAN CARLOS GOMEZ ASW
NPI 1528670387
Counselor - Mental Health in San Bernardino, CA

Active since August 21, 2020PECOS Enrolled
1455 EAST THIRD STREET, SAN BERNARDINO, CA 92408(909) 382-7100(909) 382-7115 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2024, Aug 21, 2020 (2 updates tracked since 2020).

About Adan Carlos Gomez Asw NPPES

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

ADAN CARLOS GOMEZ ASW (NPI 1528670387) is an individual mental health provider in San Bernardino, California, licensed in California (LCSW123828) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528670387
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameADAN CARLOS GOMEZCredential: ASW
Location Address1455 EAST THIRD STREETSan Bernardino, CA 92408-0118
Mailing Address5473 Tower RdRiverside, CA 92506-1043 · (909) 531-7402
Phone(909) 382-7100
Fax(909) 382-7115
Sole ProprietorNo
Enumeration DateAugust 21, 2020
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1528670387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · LCSW123828
1455 EAST THIRD STREET, San Bernardino, CA 92408
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adan Carlos Gomez Asw 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.

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 Adan Gomez's NPI number?

The NPI number for Adan Gomez is 1528670387. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Where is Adan Gomez located?

Adan Gomez practices at 1455 East Third Street, San Bernardino, CA 92408. The listed phone number is (909) 382-7100.

What is Adan Gomez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Adan Gomez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Adan Gomez was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.