Active NPI
Roberto Gomez
- Durable Medical Equipment & Medical Supplies
- La Habra, CA
National Provider Identifier
1093002180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 441 E Whittier Blvd
Suite a
La Habra, CA 90631-3982 - Phone
- (562) 846-4842
- Fax
- (562) 846-4829
- NPI assigned
- Jul 8, 2011
- Last updated
- Oct 12, 2011
- 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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
441 E Whittier Blvd
Suite a
La Habra, CA 90631-3982
Mailing address
441 E Whittier Blvd
Suite a
La Habra, CA 90631-3982
Phone (562) 846-4842
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Medical Supply | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- La Habra, CA
- NPI 1205106309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1093002180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 E WHITTIER BLVD",
"address_2": "SUITE A",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313982",
"telephone_number": "562-846-4842",
"fax_number": "562-846-4829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 E WHITTIER BLVD",
"address_2": "SUITE A",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313982",
"telephone_number": "562-846-4842",
"fax_number": "562-846-4829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "ROBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-08",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.