Individual provider Active NPI

Cristina Chavez Herrera

  • Clinical Social Worker
  • Bellflower, CA
National Provider Identifier
1073995775
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102864 Issued in CA
Practice address
13618 Carpintero Ave
Bellflower, CA 90706-2719
Phone
(559) 563-6119
NPI assigned
Jun 18, 2015
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 72809 CA
Clinical Social Worker 1041C0700X 102864 CA Primary

Addresses

Primary practice location

13618 Carpintero Ave
Bellflower, CA 90706-2719

Mailing address

13618 Carpintero Ave
Bellflower, CA 90706-2719
Phone (559) 563-6119

Other practice location 1

1721 Griffin Ave
Los Angeles, CA 90031-3312
Phone (323) 221-4134 ext. 106

Other practice location 2

1501 Hughes Way
Suite 150
Long Beach, CA 90810-1876
Phone (310) 221-6336

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

LicenseStateTypeSpecialty
102864CAMDEndodontist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1073995775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13618 CARPINTERO AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062719",
            "telephone_number": "559-563-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13618 CARPINTERO AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062719",
            "telephone_number": "559-563-6119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 Griffin Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900313312",
            "country_code": "US",
            "telephone_number": "323-221-4134 x106",
            "fax_number": "323-221-3231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Hughes Way",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908101876",
            "country_code": "US",
            "telephone_number": "310-221-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ HERRERA",
        "first_name": "CRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "72809",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.