Individual provider Active NPI

Sonia B Gomez, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, CA
National Provider Identifier
1013929066
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP15821 Issued in CA
Practice address
2740 Grant St
Concord, CA 94520-2265
Phone
(925) 674-4100
Fax
(925) 674-4141
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP15821 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP15821 CA Primary

Addresses

Primary practice location

2740 Grant St
Concord, CA 94520-2265

Mailing address

2740 Grant St
Concord, CA 94520-2265
Phone (925) 674-4100

Other practice location 1

1450 Treat Blvd # 200
Walnut Creek, CA 94597-2168
Phone (925) 296-9860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP15821CAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: sgomez18531@ehr.johnmuirhealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1013929066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 GRANT ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202265",
            "telephone_number": "925-674-4100",
            "fax_number": "925-674-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 GRANT ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202265",
            "telephone_number": "925-674-4100",
            "fax_number": "925-674-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Treat Blvd # 200",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945972168",
            "country_code": "US",
            "telephone_number": "925-296-9860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SONIA",
        "middle_name": "B",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP15821",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP15821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.