Active NPI
Thomas Z Gomez, GENERAL CONTRACTOR
- Home Modifications Contractor
- Imperial, CA
National Provider Identifier
1073490900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 1127284
- Practice address
- 699 Granite St
Imperial, CA 92251-2501 - Phone
- (760) 425-0487
- NPI assigned
- Aug 20, 2025
- Last updated
- Aug 20, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 1127284 | CA | Primary |
Addresses
Primary practice location
699 Granite St
Imperial, CA 92251-2501
Mailing address
699 Granite St
Imperial, CA 92251-2501
Phone (760) 562-9483
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 |
|---|---|---|---|
| 1127284 | CA | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1073490900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 GRANITE ST",
"city": "IMPERIAL",
"state": "CA",
"postal_code": "922512501",
"telephone_number": "760-562-9483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 GRANITE ST",
"city": "IMPERIAL",
"state": "CA",
"postal_code": "922512501",
"telephone_number": "760-425-0487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "THOMAS",
"middle_name": "Z",
"credential": "GENERAL CONTRACTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "CA",
"license": "1127284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Imperial, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.