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Provider Information for 1659804995

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ALEXANDER GOMEZ

Gender: MALE

Individual NPI: 1659804995

Calendar   Last Updated:  2021-08-12
  Certification Date:  2021-08-12

Details

Name Value
NPI 1659804995
Enumeration Date 2017-04-04
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4150 CLEMENT ST MAILSTOP 111S
SAN FRANCISCO, CA 94121-1563
United States

Phone: 415-221-4810 | Fax:
View Map External Link
Primary Practice Address 4150 CLEMENT ST MAILSTOP 111S
SAN FRANCISCO, CA 94121-1563
United States

Phone: 415-221-4810 | Fax:
View Map External Link
Secondary Practice Address 2330 POST ST
SAN FRANCISCO, CA 94115-3465
United States

Phone: 415-885-7886 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine CA A169754
No 207Q00000X - Family Medicine PA MT214046
No 207QS1201X - Family Medicine Sleep Medicine CA A169754
No 390200000X - Student in an Organized Health Care Education/Training Program