Individual provider Active NPI

Reynaldo Ocampo Gomez, M.D.

  • Specialist
  • Palm Springs, CA
National Provider Identifier
1386647394
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A51395 Issued in CA
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A51395CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Coachella Desert Oasis OB/GYN, Medical Associates Inc. Specialist PastSince Feb 26, 2013 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.

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.

Verify at the official NPI Registry.