Active NPI
Ana Victoria Gomez
- Driver
- Palmdale, CA
National Provider Identifier
1164718128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- A7095009
- Practice address
- 38021 Lido Dr.
Palmdale, CA 93552 - Phone
- (661) 341-0116
- Fax
- (661) 285-7360
- NPI assigned
- Jun 28, 2011
- 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 | A7095009 | CA | Primary |
Addresses
Primary practice location
38021 Lido Dr.
Palmdale, CA 93552
Mailing address
38021 Lido Dr.
Palmdale, CA 93552
Phone (661) 341-0116
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 |
|---|---|---|---|
| A7095009 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1164718128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38021 LIDO DR.",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93552",
"telephone_number": "661-341-0116",
"fax_number": "661-285-7360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38021 LIDO DR.",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93552",
"telephone_number": "661-341-0116",
"fax_number": "661-285-7360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "ANA",
"middle_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "A7095009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.