Individual provider Active NPI

Victorina Norma Gomez Salantes

  • Community Health Worker
  • Ewa Beach, HI
National Provider Identifier
1346890407
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
91-1251 Renton Rd
Ewa Beach, HI 96706-1936
Phone
(808) 681-0747
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

91-1251 Renton Rd
Ewa Beach, HI 96706-1936

Mailing address

710 Green St
Honolulu, HI 96813-2119
Phone (808) 536-1015

Other names 1

  • Victorina Norma Rasalan Gomez Former 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

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1346890407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 GREEN ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132119",
            "telephone_number": "808-536-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1251 RENTON RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061936",
            "telephone_number": "808-681-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALANTES",
        "first_name": "VICTORINA NORMA",
        "middle_name": "GOMEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORINA NORMA",
            "last_name": "GOMEZ",
            "middle_name": "RASALAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.