Active NPI
Alyssa Gomez, MSW
- Social Worker
- Los Angeles, CA
National Provider Identifier
1114699493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 105133
- Practice address
- 840 N Avenue 66
Los Angeles, CA 90042-1508 - Phone
- (626) 395-7100
- NPI assigned
- Oct 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 105133 | CA | |
| Social Worker | 104100000X | 105133 | CA | Primary |
Addresses
Primary practice location
840 N Avenue 66
Los Angeles, CA 90042-1508
Mailing address
840 N Avenue 66
Los Angeles, CA 90042-1508
Phone (626) 395-7100
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 |
|---|---|---|---|
| 105133 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1114699493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 N AVENUE 66",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900421508",
"telephone_number": "626-395-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 N AVENUE 66",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900421508",
"telephone_number": "626-395-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "ALYSSA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-04",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "105133",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "105133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.