Active NPI
Julio C Gomez, LMSW, ACSW
- Social Worker
- San Jose, CA
National Provider Identifier
1154105591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ACSW128124
- Practice address
- 97 E Brokaw Rd Ste 150
San Jose, CA 95112-4221 - Phone
- (209) 465-1080
- Fax
- (209) 465-2709
- NPI assigned
- Aug 24, 2023
- Last updated
- Mar 20, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 120597 | NY | |
| Social Worker | 104100000X | ACSW128124 | CA | Primary |
Addresses
Primary practice location
97 E Brokaw Rd Ste 150
San Jose, CA 95112-4221
Mailing address
97 E Brokaw Rd Ste 150
San Jose, CA 95112-4221
Phone (209) 465-1080
Other practice location 1
170 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 208-4460 ext. 67362
Other names 1
- Julio Cesar Gomez
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 |
|---|---|---|---|
| ACSW128124 | CA | MD | Social Worker |
| 120597 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1154105591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 E BROKAW RD STE 150",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124221",
"telephone_number": "209-465-1080",
"fax_number": "209-465-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 E BROKAW RD STE 150",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124221",
"telephone_number": "209-465-1080",
"fax_number": "209-465-2709"
}
],
"practiceLocations": [
{
"address_1": "170 Old Country Rd",
"address_purpose": "LOCATION",
"city": "Riverhead",
"state": "NY",
"postal_code": "119012198",
"country_code": "US",
"telephone_number": "631-208-4460 x67362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "JULIO",
"middle_name": "C",
"credential": "LMSW, ACSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-24",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "120597",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ACSW128124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIO",
"last_name": "GOMEZ",
"middle_name": "CESAR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.