NPI Code Detail JSON Logo

1881287779 NPI number — GISEL VANESSA GOMEZ

NPI Number: 1881287779
Health Care Provider/Practitioner: GISEL VANESSA GOMEZ

Information about “1881287779” NPI (GISEL VANESSA GOMEZ) exists in 1881287779 in HTML format HTML  |  1881287779 in plain Text format TXT  |  1881287779 in PDF (Portable Document Format) PDF  |  1881287779 in an XML format XML  formats.

NPI Number : 1881287779 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881287779",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOMEZ",
    "FirstName": "GISEL",
    "MiddleName": "VANESSA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SANTANA",
    "OtherFirstName": "GISEL",
    "OtherMiddleName": "VANESSA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 33568",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92163-3568",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "855-223-7123",
    "MailingAddressFaxNumber": "619-374-7134",
    "FirstLinePracticeLocationAddress": "1870 CORDELL CT STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EL CAJON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92020-0915",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "855-223-7123",
    "PracticeLocationAddressFaxNumber": "619-374-7134",
    "EnumerationDate": "02/11/2021",
    "LastUpdateDate": "07/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "1-23-67113",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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