Individual provider Active NPI

Anaid Anna Tirayan, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1043405285
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW24678 Issued in CA
Practice address
439 W 97TH St
Los Angeles, CA 90003-3968
Phone
(323) 754-2856
Fax
(323) 754-1843
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 LCSW24678 CA Primary

Addresses

Primary practice location

439 W 97TH St
Los Angeles, CA 90003-3968

Mailing address

439 W 97TH St
Los Angeles, CA 90003-3968
Phone (323) 754-2856

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
I20221018003061 CA Practitioner - Clinical Social Worker 8022484955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All for Health Health for All IncGroup PAC ID 5698734788, 37 clinicians

Practice addresses (Care Compare)

141 S Cedar St
Glendale, CA 91205-1207
Phone (818) 839-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW24678CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Sep 1, 2022 Accepting new patients
All for Health Health for All Inc Current Accepting new patients
All for Health Health for All Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

800 S Central Ave
Ste 308
Glendale, CA 91204
Phone (818) 332-2233

Interoperability endpoints

  • Direct secure messaging: anaida.tirayanlcsw.p1@direct.afh.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1043405285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 W 97TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900033968",
            "telephone_number": "323-754-2856",
            "fax_number": "323-754-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 W 97TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900033968",
            "telephone_number": "323-754-2856",
            "fax_number": "323-754-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRAYAN",
        "first_name": "ANAID",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW24678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.