NPI Details
MR. Enrique Daniel Gomez, NP is a nurse practitioner in Glendale, CA with 8 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MR. Enrique Daniel Gomez, NP NPI is 1164945564. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:2017
The provider's business location address is:
1500 E CHEVY CHASE DR # 204
GLENDALE, CA
ZIP 91206-152
Phone: (818) 827-3898
Fax: (818) 827-3897
The NPI 1164945564 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
- Removal of facial bone to approach growth of brain outside brain membrane (HCPCS:61582)
- Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
- Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
- Fusion to repair spine deformity through back, up to 6 bones (HCPCS:22800)
- Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
- Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
- Removal of middle or lower spine bone with release of spinal cord or nerves, combined thoracolumbar approach, single segment (HCPCS:63087)
- Removal of skull bone for aspiration of blood accumulation in upper brain outside or below brain membrane (HCPCS:61312)
The enumeration date for this NPI number is 7/18/2017 and was last updated on 9/16/2019.
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 |
| 1 | 363L00000X | Nurse Practitioner | | 95006986 | CALIFORNIA | Yes |
