Healthcare Provider Details

I. General information

NPI: 1518881002
Provider Name (Legal Business Name): GUSTAVO E LOMAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 CLAYTON RD
CONCORD CA
94519-2819
US

IV. Provider business mailing address

460 DIVISION ST APT 5
PLEASANTON CA
94566-7056
US

V. Phone/Fax

Practice location:
  • Phone: 925-229-1985
  • Fax:
Mailing address:
  • Phone: 925-518-0767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: