Active NPI
Larry Anthony Sanchez, SOCIAL WORKER II
- Social Worker
- Upland, CA
National Provider Identifier
1083754451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- UNLICENSED
- Practice address
- 934 N Mountain Ave
Upland, CA 91786-3659 - Phone
- (909) 579-8100
- Fax
- (909) 579-8149
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | UNLICENSED | CA | Primary |
Addresses
Primary practice location
934 N Mountain Ave
Upland, CA 91786-3659
Mailing address
2743 S Mildred PL
Ontario, CA 91761-7015
Phone (909) 579-8113
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 |
|---|---|---|---|
| UNLICENSED | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083754451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2743 S MILDRED PL",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917617015",
"telephone_number": "909-579-8113",
"fax_number": "909-579-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 N MOUNTAIN AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863659",
"telephone_number": "909-579-8100",
"fax_number": "909-579-8149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "LARRY",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "SOCIAL WORKER II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "UNLICENSED",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.