Active NPI
Javier Gonzalez
- Clinical Social Worker
- Commerce, CA
National Provider Identifier
1053866533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101922
- Practice address
- 5400 E Olympic Blvd
Commerce, CA 90022-5147 - Phone
- (323) 543-2800
- NPI assigned
- Aug 24, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 101922 | CA | Primary |
Addresses
Primary practice location
5400 E Olympic Blvd
Commerce, CA 90022-5147
Mailing address
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone (213) 241-1000
Other practice location 1
1125 W 6th St
Los Angeles, CA 90017-1833
Phone (213) 241-0979
Other practice location 2
1921 Maple Ave
Los Angeles, CA 90011-1036
Phone (213) 763-1025
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 |
|---|---|---|---|
| 101922 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United American Indian Involvement Inc. | Past | Accepting new patients | |
| United American Indian Involvement Inc. | Past | Accepting new patients |
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
- Los Angeles, CA
- NPI 1366878407
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1437360807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1053866533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S BEAUDRY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171466",
"telephone_number": "213-241-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 E OLYMPIC BLVD",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900225147",
"telephone_number": "323-543-2800"
}
],
"practiceLocations": [
{
"address_1": "1125 W 6th St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900171833",
"country_code": "US",
"telephone_number": "213-241-0979",
"fax_number": "213-241-0925",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1921 Maple Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900111036",
"country_code": "US",
"telephone_number": "213-763-1025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JAVIER",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-24",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "101922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.