Active NPI
Deborah J Gomez, RN
- Nutrition Education Nutritionist
- Ontario, CA
National Provider Identifier
1932748571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Practice address
- 427 N Euclid Ave
Ontario, CA 91762-3427 - Phone
- (909) 957-6818
- NPI assigned
- Dec 30, 2019
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | Primary |
Addresses
Primary practice location
427 N Euclid Ave
Ontario, CA 91762-3427
Mailing address
427 N Euclid Ave
Ontario, CA 91762-3427
Phone (909) 957-6818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FBN2090011542 | Other | CA | FICTITIOUS BUSINESS NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | aktivanutrition@gmail.com |
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
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1932748571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 N EUCLID AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623427",
"telephone_number": "909-957-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 N EUCLID AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623427",
"telephone_number": "909-957-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "DEBORAH",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-30",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FICTITIOUS BUSINESS NUMBER",
"identifier": "FBN2090011542",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "aktivanutrition@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "aktivanutrition@gmail.com",
"address_1": "427 N Euclid Ave",
"city": "Ontario",
"state": "CA",
"country_code": "US",
"postal_code": "917623427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.