Organization Active NPI

Vet Phoenix

  • Case Management Agency
  • Moreno Valley, CA
National Provider Identifier
1770400202
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VET PHOENIX
Practice address
23697 Bay Ave
Moreno Valley, CA 92553-3403
Phone
(562) 347-8562
NPI assigned
Jul 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Manuel Gomez
Title
Ceo
Phone
(562) 347-8562

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X
Case Management Agency 251B00000X Primary
Voluntary or Charitable Agency 251V00000X

Addresses

Primary practice location

23697 Bay Ave
Moreno Valley, CA 92553-3403

Mailing address

PO Box 11373
Whittier, CA 90603-0373
Phone (562) 347-8562

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1770400202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11373",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906030373",
            "telephone_number": "562-347-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23697 BAY AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533403",
            "telephone_number": "562-347-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VET PHOENIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-05",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-347-8562"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.