Active NPI
Danielle Yvonne Gomez, LAC
- Acupuncturist
- Fullerton, CA
National Provider Identifier
1053965129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17836
- Practice address
- 1701 W Southgate Ave
Fullerton, CA 92833-3852 - Phone
- (310) 721-9986
- NPI assigned
- Jul 27, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 17836 | CA | Primary |
Addresses
Primary practice location
1701 W Southgate Ave
Fullerton, CA 92833-3852
Mailing address
1701 W Southgate Ave
Fullerton, CA 92833-3852
Phone (310) 721-9986
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": "1564185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564185600000",
"number": "1053965129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W SOUTHGATE AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928333852",
"telephone_number": "310-721-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W SOUTHGATE AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928333852",
"telephone_number": "310-721-9986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "DANIELLE",
"middle_name": "YVONNE",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-27",
"last_updated": "2019-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.