Active NPI
Jazmin Gomez
- Behavior Technician
- Van Nuys, CA
National Provider Identifier
1871306274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7141 Woodley Ave
Van Nuys, CA 91406-3932 - Phone
- (818) 285-8252
- NPI assigned
- Jan 29, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
7141 Woodley Ave
Van Nuys, CA 91406-3932
Mailing address
7141 Woodley Ave
Van Nuys, CA 91406-3932
Phone (818) 285-8252
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ican-B | Current | Accepting new patients |
Locations
7141 Woodley Ave
Van Nuys, CA 91406
Phone (818) 285-8252
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.
-
- Community/Behavioral Health Agency
- Van Nuys, CA
- NPI 1669865648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1871306274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7141 WOODLEY AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063932",
"telephone_number": "818-285-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7141 WOODLEY AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063932",
"telephone_number": "818-285-8252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JAZMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.