Active NPI
Armida Gomez Delgadillo, RBT
- Behavior Technician
- San Diego, CA
National Provider Identifier
1821376781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-37662
- Practice address
- 2667 Camino del Rio S Ste 102
San Diego, CA 92108-3763 - Phone
- (619) 782-0700
- Fax
- (619) 782-0710
- NPI assigned
- Jul 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Behavior Technician | 106S00000X | RBT-17-37662 | CA | Primary |
Addresses
Primary practice location
2667 Camino del Rio S Ste 102
San Diego, CA 92108-3763
Mailing address
8030 La Mesa Blvd Ste 25
La Mesa, CA 91942-0335
Phone (619) 782-0700
Other practice location 1
12510 Van Nuys Blvd Ste 201
Pacoima, CA 91331-6732
Phone (626) 395-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-17-37662 | Other | CA | BACB |
| 1821376781 | Medicaid | CA |
Other names 1
- Ms. Armida Rodriguez Gomez
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-37662 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1821376781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8030 LA MESA BLVD STE 25",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420335",
"telephone_number": "619-782-0700",
"fax_number": "619-782-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2667 CAMINO DEL RIO S STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083763",
"telephone_number": "619-782-0700",
"fax_number": "619-782-0710"
}
],
"practiceLocations": [
{
"address_1": "12510 Van Nuys Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Pacoima",
"state": "CA",
"postal_code": "913316732",
"country_code": "US",
"telephone_number": "626-395-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELGADILLO",
"first_name": "ARMIDA",
"middle_name": "GOMEZ",
"name_prefix": "Ms.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-17-37662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-17-37662",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821376781",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ARMIDA",
"last_name": "GOMEZ",
"middle_name": "RODRIGUEZ",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.