Active NPI
Evin Capel
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1063966596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101754
- Practice address
- 333 S Beaudry Ave
Los Angeles, CA 90017 - Phone
- (213) 241-3841
- Fax
- (213) 241-3305
- NPI assigned
- Aug 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 78451 | CA | |
| Clinical Social Worker | 1041C0700X | 101754 | CA | Primary |
Addresses
Primary practice location
333 S Beaudry Ave
Los Angeles, CA 90017
Mailing address
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone (213) 241-3841
Other practice location 1
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Phone (323) 373-2400
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 |
|---|---|---|---|
| 101754 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063966596",
"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": "213-241-3841",
"fax_number": "213-241-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S BEAUDRY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90017",
"telephone_number": "213-241-3841",
"fax_number": "213-241-3305"
}
],
"practiceLocations": [
{
"address_1": "3031 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900073033",
"country_code": "US",
"telephone_number": "323-373-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPEL",
"first_name": "EVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-13",
"last_updated": "2022-07-21",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "78451",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "101754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.