Active NPI
Daniel Roy Gomes, D.P.M.
- Podiatrist
- Fremont, CA
National Provider Identifier
1689693699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1728
- Practice address
- 1800 Mowry Ave
Fremont, CA 94538-1712 - Phone
- (510) 794-6699
- Fax
- (510) 794-6637
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1728 | CA | Primary |
Addresses
Primary practice location
1800 Mowry Ave
Fremont, CA 94538-1712
Mailing address
15 Hidden Oak CT
Danville, CA 94506-2022
Phone (925) 484-1395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E1728 | Other | CA | STATE LICENSE NUMBER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael B Krinsky M D Medical Corporation | 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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1689693699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HIDDEN OAK CT",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945062022",
"telephone_number": "925-484-1395",
"fax_number": "925-924-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381712",
"telephone_number": "510-794-6699",
"fax_number": "510-794-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "DANIEL",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E1728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "E1728",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.