Organization Active NPI

Wingshan Lo-Gomez DO Inc

  • Family Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1285196949
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WINGSHAN LO-GOMEZ DO INC
Practice address
2900 Bristol St Ste C101
Costa Mesa, CA 92626-5943
Phone
(424) 218-6015
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Dr. Wingshan Lo-Gomez, DO
Title
President Ceo
Phone
(424) 218-6015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2900 Bristol St Ste C101
Costa Mesa, CA 92626-5943

Mailing address

2900 Bristol St Ste C101
Costa Mesa, CA 92626-5943
Phone (424) 218-6015

Other names 2

  • Glo Health Doing business as
  • Glo Health DO Doing business as

National Provider Directory

National Provider Directory

Locations

2900 Bristol St
Ste C101
Costa Mesa, CA 92626
Phone (424) 218-6015

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1285196949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE C101",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265943",
            "telephone_number": "424-218-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE C101",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265943",
            "telephone_number": "424-218-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGSHAN LO-GOMEZ DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "LO-GOMEZ",
        "authorized_official_first_name": "WINGSHAN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "424-218-6015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glo Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glo Health DO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glo Health DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.