Individual provider Active NPI

Brooke Alexa Gushea

  • Community Health Worker
  • Stockton, CA
National Provider Identifier
1497506422
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
2105 W March LN Ste 2
Stockton, CA 95207-6422
Phone
(510) 427-9716
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

2105 W March LN Ste 2
Stockton, CA 95207-6422

Mailing address

2105 W March LN Ste 2
Stockton, CA 95207-6422

Other practice location 1

7178 south recovery road
french camp, CA 95231
Phone (209) 468-6013

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1497506422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W MARCH LN STE 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W MARCH LN STE 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076422",
            "telephone_number": "510-427-9716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7178 south recovery road",
            "address_purpose": "LOCATION",
            "city": "french camp",
            "state": "CA",
            "postal_code": "95231",
            "country_code": "US",
            "telephone_number": "209-468-6013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSHEA",
        "first_name": "BROOKE",
        "middle_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.