Active NPI
Luis Gomez
- Physical Therapist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 303158
- Practice address
- 9852 Business Park Dr Ste a
Sacramento, CA 95827-1709 - Phone
- (916) 362-7962
- NPI assigned
- Nov 17, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 303158 | CA | Primary |
Addresses
Primary practice location
9852 Business Park Dr Ste a
Sacramento, CA 95827-1709
Mailing address
13045 Jackson Rd
Sloughhouse, CA 95683-9701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8031 Fruitridge Rd
Suite Aandb
Sacramento, CA 95820-6777
Phone (916) 669-9038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303158 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Golden Bear Physical Therapy Sports Injury Center, Inc | Physical Therapist | Current | Accepting new patients |
| Jagdeep Garcha P.T | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Gold Country Therapies, Inc | Past | Accepting new patients |
Locations
450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781
1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104
14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142
1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946
1700 Keystone Pacific Pkwy
Unit C2
Patterson, CA 95363
Phone (209) 881-9274
1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288
9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962
8031 Fruitridge Rd
Ste Ab
Sacramento, CA 95820
Phone 9166699038 ext. 1010
3760 Convoy St
Ste 101
San Diego, CA 92111
Phone (858) 264-1434
1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180
1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Roseville, CA
- NPI 1558878918
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1811084676
Physical Therapist
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Physical Therapist
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
- Physical Therapy Clinic/Center
- Valley Springs, CA
- NPI 1447658067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1134838121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13045 JACKSON RD",
"city": "SLOUGHHOUSE",
"state": "CA",
"postal_code": "956839701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9852 BUSINESS PARK DR STE A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958271709",
"telephone_number": "916-362-7962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "LUIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.