Active NPI
Jose Francisco Retana III, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1033244652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS17190
- Practice address
- 3787 S Vermont Ave
Los Angeles, CA 90007-4203 - Phone
- (323) 766-2345
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | LCS17190 | CA | Primary |
Addresses
Primary practice location
3787 S Vermont Ave
Los Angeles, CA 90007-4203
Mailing address
3787 S Vermont Ave
Los Angeles, CA 90007-4203
Phone (323) 766-2345
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 |
|---|---|---|---|
| LCS17190 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1033244652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3787 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900074203",
"telephone_number": "323-766-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3787 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900074203",
"telephone_number": "323-766-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETANA",
"first_name": "JOSE",
"middle_name": "FRANCISCO",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS17190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Carolina Restrepo
- Lucas Restrepo, M.D.
- Natalia Maria Restrepo
- Stefania Maria Reta
- Cindy Retana
- Retherford Physical Therapy Inc.
- Kelton Retherford, DPT
- Susan Ann Rethlefsen, P.T.
- Retina Institute of California Medical Group, a California Medical Par
- Retina Institute of California Medical Group, a California Medical Par
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.