Active NPI
Sachiko Gomi
- Social Worker
- Silver City, NM
National Provider Identifier
1699365080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- X-11799
- Practice address
- 1120 N West St
Silver City, NM 88061-4600 - Phone
- (575) 654-0576
- NPI assigned
- Jan 20, 2021
- Last updated
- Jan 20, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | X-11799 | NM | Primary |
Addresses
Primary practice location
1120 N West St
Silver City, NM 88061-4600
Mailing address
516 E 29TH St
Silver City, NM 88061-5809
Phone (785) 979-0204
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 |
|---|---|---|---|
| X-11799 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1699365080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 E 29TH ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615809",
"telephone_number": "785-979-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N WEST ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880614600",
"telephone_number": "575-654-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMI",
"first_name": "SACHIKO",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "X-11799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.