Active NPI
Rocio Gomez, LVN
- Licensed Vocational Nurse
- Orange, CA
National Provider Identifier
1760823322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 270659
- Practice address
- 681 S Parker St Ste 150
Orange, CA 92868-4761 - Phone
- (714) 744-0900
- Fax
- (877) 593-5583
- NPI assigned
- Jul 11, 2013
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 270659 | CA | Primary |
Addresses
Primary practice location
681 S Parker St Ste 150
Orange, CA 92868-4761
Mailing address
10986 Wagon Train Rd
Phelan, CA 92371-8169
Phone (323) 828-0494
Other practice location 1
437 N Hoover St
Los Angeles, CA 90004-2306
Phone (323) 644-2030 ext. 206
Other names 1
- Rosie Gomez
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 |
|---|---|---|---|
| 270659 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1760823322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10986 WAGON TRAIN RD",
"city": "PHELAN",
"state": "CA",
"postal_code": "923718169",
"telephone_number": "323-828-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 S PARKER ST STE 150",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684761",
"telephone_number": "714-744-0900",
"fax_number": "877-593-5583"
}
],
"practiceLocations": [
{
"address_1": "437 N Hoover St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900042306",
"country_code": "US",
"telephone_number": "323-644-2030 x206",
"fax_number": "323-660-6866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "ROCIO",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "270659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSIE",
"last_name": "GOMEZ",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.