Individual provider Active NPI

Veronica E Carpio Gomez

  • Counselor
  • Riverside, CA
National Provider Identifier
1346067972
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
17120 Issued in CA
Practice address
3600 Lime St Ste 711
Riverside, CA 92501-2978
Phone
(909) 470-1456
NPI assigned
Sep 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 17120 CA Primary

Addresses

Primary practice location

3600 Lime St Ste 711
Riverside, CA 92501-2978

Mailing address

5100 Hedrick Ave
Riverside, CA 92505-1365
Phone (951) 999-2052

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
17120CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1346067972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 HEDRICK AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051365",
            "telephone_number": "951-999-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LIME ST STE 711",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012978",
            "telephone_number": "909-470-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPIO GOMEZ",
        "first_name": "VERONICA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "17120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.