Healthcare Provider Details

I. General information

NPI: 1760346530
Provider Name (Legal Business Name): JASMINE YVETTE GOMEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 JED SMITH DR EUREKA HALL, ROOM 401
SACRAMENTO CA
95819
US

IV. Provider business mailing address

6000 JED SMITH DR EUREKA HALL, ROOM 401
SACRAMENTO CA
95819
US

V. Phone/Fax

Practice location:
  • Phone: 916-278-6639
  • Fax:
Mailing address:
  • Phone: 916-278-6639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: