Individual provider Active NPI

Alyssa R Najera, LCSW

  • Clinical Social Worker
  • Oakdale, CA
National Provider Identifier
1003260209
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
86618 Issued in CA
Practice address
460 N Yosemite Ave Ste 9
Oakdale, CA 95361
Phone
(209) 968-1707
Fax
(209) 336-0293
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 86618 CA Primary

Addresses

Primary practice location

460 N Yosemite Ave Ste 9
Oakdale, CA 95361

Mailing address

PO Box 1192
Riverbank, CA 95367-1192
Phone (209) 968-1707

Other practice location 1

230 S Shepherd St Ste E
Sonora, CA 95370-5076
Phone (209) 968-1707

Other practice location 2

230 S Shepherd St
Sonora, CA 95370-5076
Phone (209) 968-1707

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
86618CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1003260209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1192",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953671192",
            "telephone_number": "209-968-1707",
            "fax_number": "209-336-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N YOSEMITE AVE STE 9",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "95361",
            "telephone_number": "209-968-1707",
            "fax_number": "209-336-0293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 S Shepherd St Ste E",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953705076",
            "country_code": "US",
            "telephone_number": "209-968-1707",
            "fax_number": "209-336-0293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 S Shepherd St",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953705076",
            "country_code": "US",
            "telephone_number": "209-968-1707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAJERA",
        "first_name": "ALYSSA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.