Individual provider Active NPI

Julio C Gomez, LMSW, ACSW

  • Social Worker
  • San Jose, CA
National Provider Identifier
1154105591
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ACSW128124 Issued in CA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
ACSW128124CAMDSocial Worker
120597NYMDSocial 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.

Verify at the official NPI Registry.