Active NPI
Linda Zora Sepulveda
- Case Manager/Care Coordinator
- Riverside, CA
National Provider Identifier
1073840245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 769 W Blaine St Ste B
Riverside, CA 92507-3970 - Phone
- (951) 358-7662
- Fax
- (951) 358-4594
- NPI assigned
- Nov 10, 2009
- Last updated
- Nov 15, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
769 W Blaine St Ste B
Riverside, CA 92507-3970
Mailing address
769 W Blaine St Ste B
Riverside, CA 92507-3970
Phone (951) 358-7662
Other names 1
- Miss Linda Zora Tassera
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1073840245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 W BLAINE ST STE B",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925073970",
"telephone_number": "951-358-7662",
"fax_number": "951-358-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 W BLAINE ST STE B",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925073970",
"telephone_number": "951-358-7662",
"fax_number": "951-358-4594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPULVEDA",
"first_name": "LINDA",
"middle_name": "ZORA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "TASSERA",
"middle_name": "ZORA",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Riverside, CA
- Christopher Sepulveda
- Cindy A Sepulveda
- David Aaron Sepulveda, LMFT
- Gabriela Sepulveda
- Jackie Aliah Sepulveda
- Maria Guadalupe Sepulveda, REGISTERED DENTAL A.
- Rogelio Sepulveda Jr.
- Sequoia Family Medical Group, Inc. (Pacific Pain & Joint Centers)
- Patricia Sera
- Serafin Salazar, MD, Inc. (Inland Obstetrics and Gynecology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.