Individual provider Active NPI

Bianey Lopez Gomez

  • Marriage & Family Therapist
  • Jurupa Valley, CA
National Provider Identifier
1043077803
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
133285 Issued in CA
Practice address
3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Phone
(951) 416-1572
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 133285 CA Primary

Addresses

Primary practice location

3924 Riverview Dr
Jurupa Valley, CA 92509-6611

Mailing address

3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Phone (951) 416-1572

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
133285CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jurupa Unified School District CurrentSince Mar 24, 2025 Accepting new patients

Locations

3924 Riverview Dr
Riverside, CA 92509
Phone (951) 360-4175

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1043077803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 RIVERVIEW DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925096611",
            "telephone_number": "951-416-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 RIVERVIEW DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925096611",
            "telephone_number": "951-416-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ GOMEZ",
        "first_name": "BIANEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jurupa Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.