Individual
CRYSTALOREN M. GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
13223 BLACK MOUNTAIN RD, STE 1 PMB 1014, SAN DIEGO, CA 92129-2699
(619) 853-5578
Mailing address
13223 BLACK MOUNTAIN RD STE 1, STE 1 PMB 1014, SAN DIEGO, CA 92129-2699
(619) 853-5578
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95027133
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95027133
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
336868
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
88797
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027133
CA
Other
Enumeration date
10/19/2023
Last updated
04/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us