Individual provider Active NPI

Gerald Goco, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hacienda Heights, CA
National Provider Identifier
1801546114
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95035007 Issued in CA
Practice address
14946 Novak St
Hacienda Heights, CA 91745-1335
Phone
(626) 482-4588
NPI assigned
Mar 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95035007 CA Primary

Addresses

Primary practice location

14946 Novak St
Hacienda Heights, CA 91745-1335

Mailing address

14946 Novak St
Hacienda Heights, CA 91745-1335
Phone (626) 482-4588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223001270 CA Practitioner - Nurse Practitioner 7618458258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin Wethey MD a Professional CorporationGroup PAC ID 5496298366, 5 clinicians

Practice addresses (Care Compare)

750 N Diamond Bar Blvd
Suite 212
Diamond Bar, CA 91765-1023
Phone (909) 460-8733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95035007CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Wethey, M.D. a Professional Corporation CurrentSince Feb 5, 2026 Accepting new patients

Locations

5871 Pine Ave
Ste 220
Chino Hills, CA 91709

750 N Diamond Bar Blvd
Ste 212
Diamond Bar, CA 91765
Phone (909) 460-8733

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1801546114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14946 NOVAK ST",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917451335",
            "telephone_number": "626-482-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14946 NOVAK ST",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917451335",
            "telephone_number": "626-482-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCO",
        "first_name": "GERALD",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-05-06",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95035007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.