Active NPI
Juliana O Gomez
- Driver
- Covina, CA
National Provider Identifier
1144962853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 914 W Grovecenter St # 91722
Covina, CA 91722-4123 - Phone
- (626) 426-4304
- Fax
- (626) 364-7481
- NPI assigned
- Apr 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
914 W Grovecenter St # 91722
Covina, CA 91722-4123
Mailing address
212 E Rowland St Unit 197
Covina, CA 91723-3146
Phone (626) 426-4304
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ride & Transport | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Covina, CA
- NPI 1285393462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1144962853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E ROWLAND ST UNIT 197",
"city": "COVINA",
"state": "CA",
"postal_code": "917233146",
"telephone_number": "626-426-4304",
"fax_number": "626-364-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 W GROVECENTER ST # 91722",
"city": "COVINA",
"state": "CA",
"postal_code": "917224123",
"telephone_number": "626-426-4304",
"fax_number": "626-364-7481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JULIANA",
"middle_name": "O",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-12",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.