Organization Active NPI

Alexis Gomez Registered Nurse Practitioner a Professional Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1780442699
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ALEXIS GOMEZ REGISTERED NURSE PRACTITIONER A PROFESSIONAL CORPORATION
Practice address
3030 E. 4TH Street
Suite B
Los Angeles, CA 90063-3137
Phone
(818) 235-3926
Fax
(305) 257-9978
NPI assigned
Mar 6, 2024
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Alexis Gomez Gonzalez, NURSE PRACTITIONERNPI 1538350293
Title
Owner
Phone
(818) 235-3926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3030 E. 4TH Street
Suite B
Los Angeles, CA 90063-3137

Mailing address

6059 Fallbrook Ave
Woodland Hills, CA 91367-3224
Phone (818) 235-3926

Other names 1

  • ALEXIS GOMEZ, REGISTERED NURSE PRACTITIONER, A PROFRSSIONAL CORPORATI Former legal business name

National Provider Directory

National Provider Directory

Locations

3000 E 1st St
Ste W1
Los Angeles, CA 90063
Phone (818) 235-3926

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1780442699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6059 FALLBROOK AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673224",
            "telephone_number": "818-235-3926",
            "fax_number": "305-257-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 E. 4TH STREET",
            "address_2": "SUITE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900633137",
            "telephone_number": "818-235-3926",
            "fax_number": "305-257-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS GOMEZ REGISTERED NURSE PRACTITIONER A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "GOMEZ  GONZALEZ",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-235-3926",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALEXIS GOMEZ, REGISTERED NURSE PRACTITIONER, A PROFRSSIONAL CORPORATI",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ALEXIS GOMEZ, REGISTERED NURSE PRACTITIONER, A PROFRSSIONAL CORPORATI",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.