Active NPI
Robert John Gomes, OTRL
- Hand Occupational Therapist
- Eureka, CA
National Provider Identifier
1043427875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 4886
- Practice address
- 2700 Dolbeer St
Eureka, CA 95501-4736 - Phone
- (707) 445-8121
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 4886 | CA | Primary |
Addresses
Primary practice location
2700 Dolbeer St
Eureka, CA 95501-4736
Mailing address
200 Siler LN
Apartment D
Eureka, CA 95501-3381
Phone (707) 443-2795
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043427875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SILER LN",
"address_2": "APARTMENT D",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013381",
"telephone_number": "707-443-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 DOLBEER ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014736",
"telephone_number": "707-445-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "4886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.