Provider Demographics
NPI:1174315709
Name:GOMES, CAROLINE SIPIORA (DO)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:SIPIORA
Last Name:GOMES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:NICOLE
Other - Last Name:SIPIORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 POWDERLY CT
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-5247
Mailing Address - Country:US
Mailing Address - Phone:916-605-8043
Mailing Address - Fax:
Practice Address - Street 1:1201 ALHAMBRA BLVD STE 340
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5242
Practice Address - Country:US
Practice Address - Phone:916-731-7866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program