Active NPI
Sarah Rose Gomez
- Social Worker
- Glendora, CA
National Provider Identifier
1053989822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW131402
- Practice address
- 1160 S Grand Ave
Glendora, CA 91740-5000 - Phone
- (626) 335-5980
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14466-RAC | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | ASW131402 | CA | Primary |
Addresses
Primary practice location
1160 S Grand Ave
Glendora, CA 91740-5000
Mailing address
1160 S Grand Ave
Glendora, CA 91740-5000
Phone (626) 335-5980
Other practice location 1
1556 S Sultana Ave
Ontario, CA 91761-4238
Phone (909) 418-6937
Other practice location 2
4626 N Grand Ave
Covina, CA 91724-2055
Phone (626) 331-5316 ext. 3104
Other practice location 3
845 E Arrow Hwy
Pomona, CA 91767-2535
Phone (909) 624-1233
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14466-RAC | CA | MD | Addiction (Substance Use Disorder) Counselor |
| ASW131402 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1053989822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917405000",
"telephone_number": "626-335-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917405000",
"telephone_number": "626-335-5980"
}
],
"practiceLocations": [
{
"address_1": "1556 S Sultana Ave",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917614238",
"country_code": "US",
"telephone_number": "909-418-6937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4626 N Grand Ave",
"address_purpose": "LOCATION",
"city": "Covina",
"state": "CA",
"postal_code": "917242055",
"country_code": "US",
"telephone_number": "626-331-5316 x3104",
"fax_number": "626-332-2219",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "845 E Arrow Hwy",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917672535",
"country_code": "US",
"telephone_number": "909-624-1233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "SARAH",
"middle_name": "ROSE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "14466-RAC",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW131402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.