Evangelina Gomez in Santa Cruz - Addiction (substance Use Disorder)
Evangelina Gomez - NPI 1023234291
Evangelina Gomez is a Addiction (substance Use Disorder) in Santa Cruz, California. Evangelina Gomez practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Evangelina Gomez is 1023234291. The last update date is 2017-03-27.
Evangelina Gomez's current location address is 1400 Emeline Ave, Santa Cruz, California. You can contact this provider via phone number 8314544170 and fax number 8314544663. The mailing address for Evangelina Gomez is 1400 Emeline Ave, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evangelina Gomez |
|---|---|
| Address | 1400 Emeline Ave, Santa Cruz, California |
| Phone Number | 8314544170 |
| Fax Number | 8314544663 |
| Sole Proprietor | N |
| Credentials | CADC |
NPI Number Detail
| NPI Number | 1023234291 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2017-03-27 |
Provider Mailing Address Detail
| Address | 1400 Emeline Ave |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950601976 |
| Phone Number | 8314544170 |
| Fax Number | 8314544663 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CADC G060526 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ91892Z | CA | SANTA CRUZ COUNTY CALIFORNIA M | |
| FHC70042F | CA | SANTA CRUZ COUNTY CALIFORNIA M | |
| FHC70044F | CA | SANTA CRUZ COUNTY CALIFORNIA M | |
| G0605261426 | CA | CADC REGISTRATION | |
| ZZZ91891Z | CA | SANTA CRUZ COUNTY CALIFORNIA M | |
| ZZZ92069Z | CA | SANTA CRUZ COUNTY CALIFORNIA M |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evangelina Gomez by the Centers for Medicare & Medicaid Services?
The Evangelina Gomez has been issued the NPI (National Provider Identifier) 1023234291 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Evangelina Gomez?
The Evangelina Gomez is situated at 1400 Emeline Ave, in the city of Santa Cruz, state of CA, with the zip code 950601976.
What is the Evangelina Gomez's area of specialization and corresponding taxonomy classification?
The Evangelina Gomez's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did the Evangelina Gomez receive its 1023234291 assignment from the Centers for Medicare & Medicaid Services?
The Evangelina Gomez was assigned its 1023234291 by the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the information regarding Evangelina Gomez, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Evangelina Gomez, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-03-27.