Active NPI
Guadalupe Buitron
- Clinical Social Worker
- Riverside, CA
National Provider Identifier
1043966401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121510
- Practice address
- 6296 Magnolia Ave # 1061
Riverside, CA 92506-2526 - Phone
- (951) 241-1132
- NPI assigned
- Feb 24, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CA | ||
| Clinical Social Worker | 1041C0700X | 121510 | CA | Primary |
Addresses
Primary practice location
6296 Magnolia Ave # 1061
Riverside, CA 92506-2526
Mailing address
6296 Magnolia Ave # 1061
Riverside, CA 92506-2526
Phone (951) 241-1132
Other practice location 1
7891 Mission Grove Pkwy S Ste B
Riverside, CA 92508-6004
Phone (951) 776-9223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121510 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Clinical | Current | Accepting new patients |
| A Coming of Age to Adulthood, Inc | Past | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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.
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1073070686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1043966401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6296 MAGNOLIA AVE # 1061",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062526",
"telephone_number": "951-241-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6296 MAGNOLIA AVE # 1061",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062526",
"telephone_number": "951-241-1132"
}
],
"practiceLocations": [
{
"address_1": "7891 Mission Grove Pkwy S Ste B",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925086004",
"country_code": "US",
"telephone_number": "951-776-9223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUITRON",
"first_name": "GUADALUPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "121510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.