Genesis Vessu Goma

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

130633 Issued in CA

Practice address

500 Airport Way
Camarillo, CA 93010-8500

Phone

(805) 761-9626

NPI assigned

Sep 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Ventura

  • Community/Behavioral Health Agency
  • Camarillo, CA
  • NPI 1316350127
  NPD

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1073062360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AIRPORT WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108500",
            "telephone_number": "805-761-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AIRPORT WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108500",
            "telephone_number": "805-761-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMA",
        "first_name": "GENESIS",
        "middle_name": "VESSU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden State Pharmaceuticals, LLC
• Misty Goldenberg
• Goldenturas, a Nursing Corporation
• William David Goldie, M.D.
• Erik Goldman
• Retian Gomes
• Ashley Grace Gomez
• Catharine A Gomez V, MFT
• Celine Gomez
• Gabriel Gomez

• Marriage & Family Therapist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.