Individual provider Active NPI

Paola Castillo Gomez

  • Psychiatric/Mental Health Nurse Practitioner
  • Willows, CA
National Provider Identifier
1013596907
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95008550 Issued in CA
Practice address
257 N Butte St
Willows, CA 95988-2803
Phone
(530) 896-9400
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Northern Valley Indian Health Inc 35 clinicians

Practice addresses (Care Compare)

1990 Concord Ave
Chico, CA 95928-9518
Phone (530) 809-3300

207 N Butte St
Willows, CA 95988-2803
Phone (530) 934-9293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119004684 TX Practitioner - Nurse Practitioner 6608301221 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc CurrentSince Sep 7, 2024 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Sep 7, 2024 Accepting new patients

Locations

1990 Concord Ave
Chico, CA 95928
Phone (530) 809-3300

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

Interoperability endpoints

  • Direct secure messaging: paola.gomez@nvih.eclinicaldirectplus.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008550 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95008550 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

257 N Butte St
Willows, CA 95988-2803

Mailing address

3135 SW 21St St
Miami, FL 33145-2313
Phone (323) 203-7364

Other practice location 1

3135 SW 21st St
Miami, FL 33145-2313
Phone (323) 203-7364

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2023.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1013596907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 SW 21ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452313",
            "telephone_number": "323-203-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 N BUTTE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882803",
            "telephone_number": "530-896-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3135 SW 21st St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331452313",
            "country_code": "US",
            "telephone_number": "323-203-7364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO GOMEZ",
        "first_name": "PAOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008550",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95008550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willows, CA

Sources for this page

Verify at the official NPI Registry.