Healthcare Provider Details
I. General information
NPI: 1932442712
Provider Name (Legal Business Name): AARON GOMEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/31/2013
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
155 E WARNER RD
GILBERT AZ
85296-3082
US
IV. Provider business mailing address
22877 E REINS RD
QUEEN CREEK AZ
85142-3957
US
V. Phone/Fax
- Phone: 480-649-6600
- Fax: 480-649-6700
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 52420 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: