Individual provider Active NPI

Araceli Gomez

  • Case Manager/Care Coordinator
  • Palmdale, CA
National Provider Identifier
1093838476
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1050 E Palmdale Blvd Ste 211
Palmdale, CA 93550
Phone
(661) 208-4699
Fax
(661) 208-3806
NPI assigned
Apr 9, 2007
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1050 E Palmdale Blvd Ste 211
Palmdale, CA 93550

Mailing address

1050 E Palmdale Blvd Ste 211
Palmdale, CA 93550-4750
Phone (661) 208-4699

Other practice location 1

16940 Highway 14 Ste F
Mojave, CA 93501-1238
Phone (661) 824-5020 ext. 116

Other practice location 2

16940 Highway 14 Ste F
Mojave, CA 93501-1238
Phone (661) 824-5020 ext. 116

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1093838476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E PALMDALE BLVD STE 211",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504750",
            "telephone_number": "661-208-4699",
            "fax_number": "661-208-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E PALMDALE BLVD STE 211",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93550",
            "telephone_number": "661-208-4699",
            "fax_number": "661-208-3806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16940 Highway 14 Ste F",
            "address_purpose": "LOCATION",
            "city": "Mojave",
            "state": "CA",
            "postal_code": "935011238",
            "country_code": "US",
            "telephone_number": "661-824-5020 x116",
            "fax_number": "661-824-5026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16940 Highway 14 Ste F",
            "address_purpose": "LOCATION",
            "city": "Mojave",
            "state": "CA",
            "postal_code": "935011238",
            "country_code": "US",
            "telephone_number": "661-824-5020 x116",
            "fax_number": "661-824-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ARACELI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.