Individual provider Active NPI

Eliana Ruelas-Perez, MSW, LCSW

  • Clinical Social Worker
  • Van Nuys, CA
National Provider Identifier
1003219452
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
85469 Issued in CA
Practice address
14550 Haynes St
Van Nuys, CA 91411-1613
Phone
(818) 650-6700
Fax
(818) 933-3927
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Rehabilitation Practitioner 225400000X
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 85469 CA Primary

Addresses

Primary practice location

14550 Haynes St
Van Nuys, CA 91411-1613

Mailing address

14550 Haynes St
Van Nuys, CA 91411-1613
Phone (818) 650-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303001366 CA Practitioner - Clinical Social Worker 2163859182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Medical Center IncGroup PAC ID 2769666817, 12 clinicians

Practice addresses (Care Compare)

12100 Valley Blvd
Suite 109a
El Monte, CA 91732-3161
Phone (626) 575-7500

14550 Haynes St
Van Nuys, CA 91411-1613
Phone (818) 650-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85469CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Medical Center, Inc. Current Accepting new patients
Southern California Medical Center, Inc. CurrentSince Feb 11, 2020 Accepting new patients
Southern California Medical Center, Inc. CurrentSince Feb 11, 2020 Accepting new patients
Core a Licensed Clinical Social Worker Corporation Clinical CurrentSince Dec 8, 2025 Accepting new patients

Locations

12100 Valley Blvd
Ste 109A
El Monte, CA 91732
Phone (626) 575-7500

12100 Valley Blvd
Ste 109
El Monte, CA 91732

1627 E Anaheim St
Long Beach, CA 90813
Phone (562) 437-0373

8825 Whittier Blvd
Pico Rivera, CA 90660
Phone (562) 699-3333

Interoperability endpoints

  • Direct secure messaging: eliana.perez.p1@direct.scmedcenter.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1003219452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 HAYNES ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111613",
            "telephone_number": "818-650-6700",
            "fax_number": "818-933-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 HAYNES ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111613",
            "telephone_number": "818-650-6700",
            "fax_number": "818-933-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELAS-PEREZ",
        "first_name": "ELIANA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "85469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.