Active NPI
Eugenie Michelle Giasson-Gomez, D.C.
- Pediatric Chiropractor
- Los Gatos, CA
National Provider Identifier
1629460076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 33165
- Practice address
- 15100 Los Gatos Blvd Ste 1
Los Gatos, CA 95032-2028 - Phone
- (408) 356-0270
- Fax
- (408) 356-0273
- NPI assigned
- Feb 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 33165 | CA | Primary |
| Nutrition Chiropractor | 111NN1001X | 33165 | CA |
Addresses
Primary practice location
15100 Los Gatos Blvd Ste 1
Los Gatos, CA 95032-2028
Mailing address
15100 Los Gatos Blvd Ste 1
Los Gatos, CA 95032-2028
Phone (408) 356-0270
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33165 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1629460076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15100 LOS GATOS BLVD STE 1",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322028",
"telephone_number": "408-356-0270",
"fax_number": "408-356-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15100 LOS GATOS BLVD STE 1",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322028",
"telephone_number": "408-356-0270",
"fax_number": "408-356-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIASSON-GOMEZ",
"first_name": "EUGENIE",
"middle_name": "MICHELLE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "CA",
"license": "33165",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "33165",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.