Active NPI
Roberto Rodriguez Ocampo
- Clinical Social Worker
- Santa Ana, CA
National Provider Identifier
1053942961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW111032
- Practice address
- 3631 S Harbor Blvd Ste 200
Santa Ana, CA 92704-7936 - Phone
- (657) 356-6490
- NPI assigned
- Jan 29, 2020
- 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 | LCSW111032 | CA | Primary |
Addresses
Primary practice location
3631 S Harbor Blvd Ste 200
Santa Ana, CA 92704-7936
Mailing address
3631 S Harbor Blvd Ste 200
Santa Ana, CA 92704-7936
Phone (657) 356-6490
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 |
|---|---|---|---|
| LCSW111032 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Youth Services | Past | Accepting new patients | |
| New Alternatives 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.
-
- Case Management Agency
- Fountain Valley, CA
- NPI 1174989735
-
- Community/Behavioral Health Agency
- Fountain Valley, CA
- NPI 1215484019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1053942961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3631 S HARBOR BLVD STE 200",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047936",
"telephone_number": "657-356-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3631 S HARBOR BLVD STE 200",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047936",
"telephone_number": "657-356-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ OCAMPO",
"first_name": "ROBERTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-29",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW111032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.