Individual provider Active NPI

Richard De la Garza, LCSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1023451069
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
83253 Issued in CA
Practice address
1245 S Winchester Blvd Ste 110
San Jose, CA 95128-3908
Phone
(925) 282-1778
Fax
(415) 296-5299
NPI assigned
Apr 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079270-1 NY
Clinical Social Worker 1041C0700X 83253 CA Primary

Addresses

Primary practice location

1245 S Winchester Blvd Ste 110
San Jose, CA 95128-3908

Mailing address

1245 S Winchester Blvd Ste 110
San Jose, CA 95128-3908
Phone (925) 282-1778

Other practice location 1

3801 Miranda Ave
Palo Alto, CA 94304-1207
Phone (650) 493-5000 ext. 62768

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
I20240522003422 CA Practitioner - Clinical Social Worker 8820430861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

490 Post St
San Francisco, CA 94102-1301

PO Box
Suite 1429
Salisbury, NC 28145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079270-1NYMDSocial Worker
83253CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Open Mind Mental Health Physicians, Inc. Clinical CurrentSince Sep 18, 2025 Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients

Locations

438 Camino del Rio S
Ste 106
San Diego, CA 92108
Phone (619) 303-8341

95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090

Interoperability endpoints

  • Direct secure messaging: telemed2u.richarddelagarza@160918.advancedmd-direct.com

Organizations & group practices 2

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1023451069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S WINCHESTER BLVD STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283908",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S WINCHESTER BLVD STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283908",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Miranda Ave",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041207",
            "country_code": "US",
            "telephone_number": "650-493-5000 x62768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA GARZA",
        "first_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079270-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "83253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.