Authentic Gains LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AUTHENTIC GAINS LLC

Practice address

555 Oakdale St Ste D
Folsom, CA 95630-2451

Phone

(916) 496-7663

NPI assigned

May 30, 2019

Organization subpart

No

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

Authorized official

Name

Gina NelsonNPI 1992217277

Title

Provider

Phone

(916) 496-7663

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gina Nelson Other name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Eileen Nelson

  • Clinical Social Worker
  • Folsom, CA
  • NPI 1992217277

  ID

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1124686605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 OAKDALE ST STE D",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302451",
            "telephone_number": "916-496-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 OAKDALE ST STE D",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302451",
            "telephone_number": "916-496-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC GAINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "916-496-7663"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LCS19822",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gina Nelson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anisul Aslam, MD
• Diane Asmuth, PA-C
• Nazanin Attaie, DDS
• Alicia Rose Audino, LMFT
• Jonathan Audu, FNP-C
• Avicenna Surgery Center, Inc.
• Marina Awad
• Irma A Ayala
• Natalie Ayers
• Sylvia Ayotte

• Clinical Social Worker in Folsom, CA
• Providers in Folsom, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.