Healthcare Provider Details

I. General information

NPI: 1609434182
Provider Name (Legal Business Name): MS. NATALIE PATRICIA GOMEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 QUINTARA ST
SAN FRANCISCO CA
94116-1273
US

IV. Provider business mailing address

800 26TH AVE APT 7
SAN FRANCISCO CA
94121-3647
US

V. Phone/Fax

Practice location:
  • Phone: 415-242-2615
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number107769
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: