Active NPI
Daniel I. Gomez
- Social Worker
- Honokaa, HI
National Provider Identifier
1659414241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 45-3380 Mamane St Unit 4
Honokaa, HI 96727-6933 - Phone
- (808) 640-1141
- Fax
- (808) 775-8834
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | HI | Primary |
Addresses
Primary practice location
45-3380 Mamane St Unit 4
Honokaa, HI 96727-6933
Mailing address
45-3380 Mamane St Unit 4
Honokaa, HI 96727-6933
Phone (808) 640-1141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539372-19 | Medicaid | HI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Hawaii Department of Health | Past | 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.
-
dba East Hawaii Community Mental Health Center-Honokaa Clinic
- Community/Behavioral Health Agency
- Honokaa, HI
- NPI 1306029947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1659414241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45-3380 MAMANE ST UNIT 4",
"city": "HONOKAA",
"state": "HI",
"postal_code": "967276933",
"telephone_number": "808-640-1141",
"fax_number": "808-775-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-3380 MAMANE ST UNIT 4",
"city": "HONOKAA",
"state": "HI",
"postal_code": "967276933",
"telephone_number": "808-640-1141",
"fax_number": "808-775-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "DANIEL",
"middle_name": "I.",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "539372-19",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honokaa, HI
- Janet Puanani Eblen, MFT
- Fabienne Bisaro
- Emily Laura Freeman
- Jeffrey J Gedney, PSYD
- Anthony R Giasolli, MD
- Glenda H Grawe, MD
- Hamakua Family Pharmacy, Inc.
- Hamakua Health Center Inc (Hamakua Kohala Health)
- Hamakua Health Center, Inc. (Hamakua Kohala Health)
- Hamakua Health Center, Inc. (Hamakua Kohala Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.