Active NPI
Paola Castillo Gomez
- Psychiatric/Mental Health Nurse Practitioner
- Willows, CA
National Provider Identifier
1013596907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95008550
- 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.
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- Clinic/Center
- Chico, CA
- NPI 1750031548
-
- Clinic/Center
- Woodland, CA
- NPI 1881960128
-
- Clinic/Center
- Chico, CA
- NPI 1265567127
-
- Clinic/Center
- Chico, CA
- NPI 1740634286
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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Valley Indian Health Inc | Current | Accepting new patients | |
| Northern Valley Indian Health Inc | Current | 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
- paola.gomez@nvih.eclinicaldirectplus.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95008550 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95008550 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.