Stephanie Gomez

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

20101 Hamilton Ave
Suite 160
Torrance, CA 90502

Phone

(310) 817-2177

NPI assigned

Sep 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Counseling4Kids, Inc.

  • Community/Behavioral Health Agency
  • Torrance, CA
  • NPI 1467597658
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194234930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20101 HAMILTON AVE STE 160",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021306",
            "telephone_number": "310-817-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 HAMILTON AVE",
            "address_2": "SUITE 160",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90502",
            "telephone_number": "310-817-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9101 Whittier Blvd",
            "address_purpose": "LOCATION",
            "city": "Pico Rivera",
            "state": "CA",
            "postal_code": "906602405",
            "country_code": "US",
            "telephone_number": "562-801-4626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricruz Gomez
• Mirian Gomez
• Priscilla Gomez
• Samantha P Gomez
• Sophia Gomez, M.S., CCC-SLP
• Vanessa Gomez
• Vikram Baldini Gondhalekar
• Jason R Gong, DDS
• Dustin Thomas Gonzaga-Beaver, OTR/L
• Myriah Rae Gonzales-Oliva

• Student in an Organized Health Care Education/Training Program in Torrance, CA
• Providers in Torrance, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.