JORGE ALEJANDRO GOMEZ
NPI 1568917805
Social Worker - Clinical in San Pedro, CA

Q: What is Jorge Gomez's NPI number?

The NPI number for Jorge Gomez is 1568917805. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Q: What is Jorge Gomez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jorge Gomez was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 16, 2016PECOS EnrolledAccepts Medicare Assignment

150 W 7TH ST, SAN PEDRO, CA 90731(310) 519-6100(310) 732-5809 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2023, Oct 26, 2018, Aug 16, 2016 (3 updates tracked since 2016).

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About Jorge Alejandro Gomez NPPES

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

JORGE ALEJANDRO GOMEZ (NPI 1568917805) is an individual clinical provider in San Pedro, California, licensed in California (LCSW108319) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1568917805

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJORGE ALEJANDRO GOMEZ

Location Address150 W 7TH STSan Pedro, CA 90731

Mailing Address150 W 7th StSan Pedro, CA 90731-3320 · (310) 519-6100 · Fax (310) 732-5809

Phone(310) 519-6100

Fax(310) 732-5809

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 16, 2016

Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1568917805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCSW108319

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ASW83272 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

150 W 7TH ST, San Pedro, CA 90731

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jorge Alejandro Gomez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648617084

PECOS Enrollment IDI20240321001740

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90731 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

$0.00 typical visit price

range $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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 20

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

CYNTHIA SUSAN GAUHAN

Counselor (Mental Health)