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JUANITA GOMEZ MS
NPI 1790915759
Psychologist - Health in Cupertino, CA

Active since July 23, 2009PECOS EnrolledAccepts Medicare Assignment
19000 EAST HOMESTEAD DRIVE, BUILDING 2 FLOOR 2, CUPERTINO, CA 95014(408) 366-4400 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 24, 2022, Mar 22, 2017 (2 updates tracked since 2017).

About Juanita Gomez Ms NPPES

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

JUANITA GOMEZ MS (NPI 1790915759) is an individual health provider in Cupertino, California, licensed in California (PSY27439) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1790915759
Entity TypeIndividualFemale
Primary Taxonomy103TH0004X
Provider Legal NameJUANITA GOMEZCredential: MS
Location Address19000 EAST HOMESTEAD DRIVE, BUILDING 2 FLOOR 2Cupertino, CA 95014
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Phone(408) 366-4400
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 23, 2009
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1790915759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
License✔ Licensed in CA · PSY27439
Definition
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
19000 EAST HOMESTEAD DRIVE, Cupertino, CA 95014
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juanita Gomez Ms 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 ID3375853344
PECOS Enrollment IDI20220208001649
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Juanita Gomez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uc San Diego Health Community Group
407 mi
Community Health
16950 VIA TAZON
San Diego, CA 92127
  • Reassigned Medicare billing, California enrollment
  • 271 clinicians in this Medicare group
NPI 1659864247 (858) 249-5908
Regents Of The University Of California
418 mi
Nephrology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 526 clinicians in this Medicare group
NPI 1003934803 (888) 926-8273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
65 services11 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

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 Juanita Gomez's NPI number?

The NPI number for Juanita Gomez is 1790915759. It was assigned to this individual provider in the NPPES registry on July 23, 2009.

Where is Juanita Gomez located?

Juanita Gomez practices at 19000 East Homestead Drive Building 2 Floor 2, Cupertino, CA 95014. The listed phone number is (408) 366-4400.

What is Juanita Gomez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is Juanita Gomez enrolled in Medicare?

Yes. Juanita Gomez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Juanita Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juanita Gomez reassigns Medicare benefits to 2 organizations: Uc San Diego Health Community Group (San Diego, CA) and Regents Of The University Of California (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juanita Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Juanita Gomez was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.