PETRA G. GOMEZ NCPT, NCMA – NPI #1174990188
Technician, Pathology

PETRA GOMEZ is a pathology technician located in SAN CLEMENTE, CA. NPPES has assigned the NPI number 1174990188 to PETRA GOMEZ on August 25, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETRA GOMEZ below.

NPI Profile for
PETRA G. GOMEZ

NPI Number
1174990188
Enumeration Date

(about 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
PETRA G. GOMEZ
Credentials
NCPT, NCMA
Primary location
1300 AVENIDA VISTA HERMOSA
SUITE 100
SAN CLEMENTE, CA 92673-6315
Phone: (949) 218-3001 Fax:
Mailing address
15 CALLE DE LAS SONATAS
RANCHO SANTA MARGARITA, CA 92688-2886
Phone: (949) 632-5316 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.