Wilson Gomer M.D. Professional Medical Corporation
NPI 1104327543 · Health Service Clinic/Center · San Bernardino, CA
Wilson Gomer M.D. Professional Medical Corporation is a Health Service Clinic/Center organization in San Bernardino, CA (NPI 1104327543).
Provider details
- NPI number
- 1104327543
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wilson Gomer, President(909) 802-9374
- License
- A50690 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 11340 Mountain View Ave Ste BLoma Linda, CA 92354-3858Phone: (909) 799-5445Fax: (909) 799-2006
Registry dates
- Enumerated
- 2018-02-21
- Last updated
- 2018-06-06
Frequently asked questions
- What is Wilson Gomer M.D. Professional Medical Corporation's NPI number?
- Wilson Gomer M.D. Professional Medical Corporation's National Provider Identifier (NPI) is 1104327543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wilson Gomer M.D. Professional Medical Corporation?
- Wilson Gomer M.D. Professional Medical Corporation is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wilson Gomer M.D. Professional Medical Corporation located?
- Wilson Gomer M.D. Professional Medical Corporation's practice location on file with NPPES is 1800 Western Ave Ste 103, San Bernardino, CA 92411.
- What is Wilson Gomer M.D. Professional Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Wilson Gomer M.D. Professional Medical Corporation is (909) 887-7427.
- Who is the authorized official for Wilson Gomer M.D. Professional Medical Corporation?
- The authorized official listed on Wilson Gomer M.D. Professional Medical Corporation's NPPES record is Wilson Gomer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wilson Gomer M.D. Professional Medical Corporation's NPI active?
- Yes — Wilson Gomer M.D. Professional Medical Corporation's NPI (1104327543) is active in the NPPES registry as of the last update on 2018-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.