Active NPI
Alexis Uriel Tovar
- Social Worker
- Fontana, CA
National Provider Identifier
1023691854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 122657
- Practice address
- 14677 Merrill Ave
Fontana, CA 92335-4219 - Phone
- (909) 643-2340
- NPI assigned
- Apr 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 122657 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Social Worker | 104100000X | 122657 | CA | Primary |
Addresses
Primary practice location
14677 Merrill Ave
Fontana, CA 92335-4219
Mailing address
14677 Merrill Ave
Fontana, CA 92335-4219
Other practice location 1
6400 Laurel Canyon Blvd Fl 5
North Hollywood, CA 91606-1571
Phone (818) 305-1263
Other practice location 2
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Phone (818) 241-6780
Other practice location 3
1350 3rd St
LA Verne, CA 91750-5201
Phone (909) 593-2581
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122657 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1023691854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14677 MERRILL AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923354219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14677 MERRILL AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923354219",
"telephone_number": "909-643-2340"
}
],
"practiceLocations": [
{
"address_1": "6400 Laurel Canyon Blvd Fl 5",
"address_purpose": "LOCATION",
"city": "North Hollywood",
"state": "CA",
"postal_code": "916061571",
"country_code": "US",
"telephone_number": "818-305-1263",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1055 E Colorado Blvd Ste 560",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911062380",
"country_code": "US",
"telephone_number": "818-241-6780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 3rd St",
"address_purpose": "LOCATION",
"city": "LA Verne",
"state": "CA",
"postal_code": "917505201",
"country_code": "US",
"telephone_number": "909-593-2581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOVAR",
"first_name": "ALEXIS",
"middle_name": "URIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-29",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "122657",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "122657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.