Active NPI
Gabriela Gomez, SLPA
- Speech-Language Assistant
- Garden Grove, CA
National Provider Identifier
1477846376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 1442
- Practice address
- 12881 Knott St
Suite 103
Garden Grove, CA 92841-3925 - Phone
- (714) 892-6828
- Fax
- (714) 898-9720
- NPI assigned
- May 25, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 1442 | CA | Primary |
Addresses
Primary practice location
12881 Knott St
Suite 103
Garden Grove, CA 92841-3925
Mailing address
12881 Knott St
Suite 103
Garden Grove, CA 92841-3925
Phone (714) 892-6828
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": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1477846376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12881 KNOTT ST",
"address_2": "SUITE 103",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928413925",
"telephone_number": "714-892-6828",
"fax_number": "714-898-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12881 KNOTT ST",
"address_2": "SUITE 103",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928413925",
"telephone_number": "714-892-6828",
"fax_number": "714-898-9720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "GABRIELA",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "1442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.