SERGIO R. GOMEZ M.D. INC NPI 1134325822

NPI Information

  • NPI: 1134325822
  • Provider Name: SERGIO R. GOMEZ M.D. INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 2005 NORTH GAREY AVE
    POMONA, CA
    ZIP 91767
  • Phone: (909) 868-1620

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NPI Details

SERGIO R. GOMEZ M.D. INC is a family medicine in Pomona, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SERGIO R. GOMEZ M.D. INC NPI is 1134325822. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2005 NORTH GAREY AVE
POMONA, CA
ZIP 91767
Phone: (909) 868-1620
Fax: (909) 593-4500

The provider's authorized official is Sergio Rene Gomez .
The authorized official title is Medical President and has the following contact phone number (909) 868-1620.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 5/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA74276CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W19156MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
200A742760MEDICAIDCALIFORNIA
3H68743MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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