Active NPI
Vet Phoenix
- Case Management Agency
- Moreno Valley, CA
National Provider Identifier
1770400202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.