Individual provider Active NPI

Nicholas Cruz Gomez, DC

  • Chiropractor
  • Woodville, CA
National Provider Identifier
1457074650
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36446 Issued in CA
Practice address
16686 Road 168
Woodville, CA 93257-9246
Phone
(559) 686-9097
NPI assigned
Sep 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36446 CA Primary

Addresses

Primary practice location

16686 Road 168
Woodville, CA 93257-9246

Mailing address

1134 E Cartmill Ave
Tulare, CA 93274-9610
Phone (559) 631-4042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825001900 CA Practitioner - Chiropractic 0446623078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1134 E Cartmill Ave
Tulare, CA 93274-9610

45650 Sierra Dr
Three Rivers, CA 93271-9711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36446CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Altura Centers for Health Current Accepting new patients
Altura Centers for Health CurrentSince Jul 1, 2025 Accepting new patients
Altura Centers for Health CurrentSince Jul 1, 2025 Accepting new patients
Bakersfield Family Chiropractic, Perry Chiropractic, Inc. Chiropractor PastSince Sep 1, 2022 Accepting new patients

Locations

1134 E Cartmill Ave
Tulare, CA 93274
Phone (559) 686-9097

1101 N Cherry St
Tulare, CA 93274
Phone (559) 686-9097

16686 Road 168
Woodville, CA 93257
Phone (559) 686-9097

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nicholas.gomez.p1@direct.altura.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1457074650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 E CARTMILL AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932749610",
            "telephone_number": "559-631-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16686 ROAD 168",
            "city": "WOODVILLE",
            "state": "CA",
            "postal_code": "932579246",
            "telephone_number": "559-686-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "NICHOLAS",
        "middle_name": "CRUZ",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-22",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.