Healthcare Provider Details

I. General information

NPI: 1851014468
Provider Name (Legal Business Name): GABRIELA MARTINEZ GOMEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W WINTON AVE
HAYWARD CA
94544-1136
US

IV. Provider business mailing address

313 W WINTON AVE
HAYWARD CA
94544-1136
US

V. Phone/Fax

Practice location:
  • Phone: 510-381-4902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: