Individual provider Active NPI

Esmeralda Briseno

  • Clinical Social Worker
  • Laguna Hills, CA
National Provider Identifier
1003234436
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS26613 Issued in CA
Practice address
23461 S Pointe Dr
Suite 220
Laguna Hills, CA 92653-1547
Phone
(949) 855-1556
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS26613 CA Primary

Addresses

Primary practice location

23461 S Pointe Dr
Suite 220
Laguna Hills, CA 92653-1547

Mailing address

23461 S Pointe Dr
Suite 220
Laguna Hills, CA 92653-1547
Phone (949) 855-1556

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

LicenseStateTypeSpecialty
LCS26613CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1003234436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23461 S POINTE DR",
            "address_2": "SUITE 220",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531547",
            "telephone_number": "949-855-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23461 S POINTE DR",
            "address_2": "SUITE 220",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531547",
            "telephone_number": "949-855-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISENO",
        "first_name": "ESMERALDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS26613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.