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JACOB GOMEZ MD
NPI 1689413833
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since May 20, 2024PECOS Enrolled
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033(323) 268-5000 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Gomez Md NPPES

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

JACOB GOMEZ MD (NPI 1689413833) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689413833
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB GOMEZCredential: MD
Location Address1720 E CESAR E CHAVEZ AVELos Angeles, CA 90033-2414
Mailing Address354 S Cochran Ave Apt 101Los Angeles, CA 90036-3350 · (909) 522-0282
Phone(323) 268-5000
Sole ProprietorYes
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1689413833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

1720 E CESAR E CHAVEZ AVE, Los Angeles, CA 90033
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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 (PECOS)

Jacob Gomez Md 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.

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.

DR. NAYELI BUENROSTRO DPM
Student in an Organized Health Care Education/Training Program
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
PARDIS A SAFFARI DO
Internal Medicine
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 260-5781
AH YEON CHANG RN
Registered Nurse (Case Management)
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
JOSIF BOROVIC, MD, INC
Pain Medicine (Interventional Pain Medicine)
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (562) 407-2080
CONNIE CHUNG MD
Student in an Organized Health Care Education/Training Program
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 260-5781
DAVINA RENE HSU D.O.
Family Medicine
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
STELLA MARIE GOMORY PA-C
Physician Assistant
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
MARYAM FAKHRAI
Obstetrics & Gynecology
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (949) 510-4227

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 Jacob Gomez's NPI number?

The NPI number for Jacob Gomez is 1689413833. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Jacob Gomez located?

Jacob Gomez practices at 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033. The listed phone number is (323) 268-5000.

What is Jacob Gomez's specialty?

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

Is Jacob Gomez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Gomez was last updated on May 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.