Sally Gonzales-Apodaca, C.P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

117 Issued in CO

Practice address

1339 S Pueblo Blvd
Pueblo, CO 81005-1686

Phone

(719) 564-9400

Fax

(719) 564-0497

NPI assigned

Jan 19, 2009

Last updated

Jan 23, 2018By the provider in NPPES

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

Enrolled in CO

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Richard Rivera MDPC

  • Health Service Clinic/Center
  • Pueblo, CO
  • NPI 1992973473
  Medicare reassignment

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1114164795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 CHINOOK LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011850",
            "telephone_number": "719-564-9400",
            "fax_number": "719-564-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051686",
            "telephone_number": "719-564-9400",
            "fax_number": "719-564-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES-APODACA",
        "first_name": "SALLY",
        "credential": "C.P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Marie Gomez
• Jessica Lynn Gomez, PT, DPT, ATC
• Laura Gomez
• Lauren M Gomez, PA-C
• Nia Gomez
• Jaycob Gonzales-Cordova
• Barbara A Gonzales, OWNER
• Felicia Gonzales, COTA
• Hope Gonzales
• James J Gonzales

• Physician Assistant in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.