Active NPI
Judy Ramirez-Campuzano, LCSW
- Clinical Social Worker
- Santa Ana, CA
National Provider Identifier
1023656923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29758
- Practice address
- 1206 E 17TH St Ste 101
Santa Ana, CA 92701-2641 - Phone
- (714) 352-2911
- Fax
- (714) 352-2903
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29758 | CA | Primary |
Addresses
Primary practice location
1206 E 17TH St Ste 101
Santa Ana, CA 92701-2641
Mailing address
1206 E 17TH St Ste 101
Santa Ana, CA 92701-2641
Phone (714) 352-2911
Other names 1
- Mrs. Judy Campuzano
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29758 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1023656923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 E 17TH ST STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012641",
"telephone_number": "714-352-2911",
"fax_number": "714-352-2903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 E 17TH ST STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012641",
"telephone_number": "714-352-2911",
"fax_number": "714-352-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ-CAMPUZANO",
"first_name": "JUDY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-11",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "29758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDY",
"last_name": "CAMPUZANO",
"prefix": "MRS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.