Active NPI
John Maurice Gomez
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1821926593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18862
- Practice address
- 333 S Beaudry Ave Apt N
Los Angeles, CA 90017-1466 - Phone
- (310) 592-4646
- NPI assigned
- May 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18862 | CA | Primary |
Addresses
Primary practice location
333 S Beaudry Ave Apt N
Los Angeles, CA 90017-1466
Mailing address
333 S Beaudry Ave Apt N
Los Angeles, CA 90017-1466
Phone (310) 592-4646
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 |
|---|---|---|---|
| 18862 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Wave Speech Therapy | Speech-Language Pathologist | Current | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Sierra Madre, CA
- NPI 1366370744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1821926593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S BEAUDRY AVE APT N",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171466",
"telephone_number": "310-592-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S BEAUDRY AVE APT N",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171466",
"telephone_number": "310-592-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JOHN",
"middle_name": "MAURICE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-12",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "18862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 12, 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.