ERICA AMBROZEVICIUS GOMEZ (DMSC, MPAP, PA-C) – Physician Assistant, NPI 1316044282
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for ERICA AMBROZEVICIUS GOMEZ (DMSC, MPAP, PA-C)
1820 W Orangewood Ave
Orange, CA 928682043
Phone: (657) 246-3658
Fax: (562) 451-3026
Type: Location
5630 E Santa Ana Canyon Rd Ste 100
Anaheim, CA 928073122
Phone: (714) 974-2900
Type: Location
2100 SAN JOSE AVE
LA HABRA, CA 906315035
Phone: (626) 383-4264
Fax: (562) 451-3026
Type: Mailing
2251 N HARBOR BLVD
FULLERTON, CA 928352601
Phone: (714) 449-6230
Fax: (714) 449-1773
Type: Location
Robert L. Douglas Speech Clinic, 5151, State University Drive, El Sereno, East Los Angeles, Los Angeles, Los Angeles County, California, 90032-3813, United States
STUDENT HEALTH CENTER
LOS ANGELES, CA 90032
Phone: (323) 343-3301
Fax: (323) 343-6557
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050906000258 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 118 | $0 |
| 81003 | Automated urinalysis test | 24 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 20 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 14 | 14 | $0 |
| 71046 | X-ray of chest, 2 views | 13 | 13 | $0 |
Insurance plans in this area (ZIP 92868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| - | WA | |
| - | ME | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA |
Reviews
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