Individual provider · Type 1 NPI

Jose Gomez

Student in an Organized Health Care Education/Training Program · Riverside, CA

NPI number 1861100620 Active

Practice location

525 Technology Ct Ste 105
Riverside, CA 92507-2181

Call (951) 686-8500 Map

Other practice locations

  • 600 W Santa Ana Blvd Ste 600, Santa Ana, CA 92701-4552 · (714) 953-4455

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Rehabilitation Practitioner 225400000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1861100620

Jose Gomez's National Provider Identifier is 1861100620, issued on Nov 10, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverside, CA. The record was last updated on Feb 23, 2026.