Individual provider Active NPI

Rocio Gomez, LVN

  • Licensed Vocational Nurse
  • Orange, CA
National Provider Identifier
1760823322
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
270659 Issued in CA
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

Updated by the provider on May 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
270659CAMDLicensed 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.

Verify at the official NPI Registry.