Active NPI
Reynaldo Ocampo Gomez, M.D.
- Specialist
- Palm Springs, CA
National Provider Identifier
1386647394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A51395
- Practice address
- 1180 N Indian Canyon Dr
Ste W300
Palm Springs, CA 92262-4809 - Phone
- (760) 416-3770
- Fax
- (760) 320-8551
- NPI assigned
- May 23, 2005
- Last updated
- Jan 7, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A51395 | CA | Primary |
Addresses
Primary practice location
1180 N Indian Canyon Dr
Ste W300
Palm Springs, CA 92262-4809
Mailing address
74998 Country Club Dr
Suite 220, PMB 183
Palm Desert, CA 92260-1970
Phone (760) 416-3770
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A51395 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coachella Desert Oasis OB/GYN, Medical Associates Inc. | Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Palm Springs, CA
- NPI 1609965748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1386647394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74998 COUNTRY CLUB DR",
"address_2": "SUITE 220, PMB 183",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922601970",
"telephone_number": "760-416-3770",
"fax_number": "760-320-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 N INDIAN CANYON DR",
"address_2": "STE W300",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624809",
"telephone_number": "760-416-3770",
"fax_number": "760-320-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "REYNALDO",
"middle_name": "OCAMPO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A51395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.