Active NPI
Carlos Tapia
- Clinical Social Worker
- El Centro, CA
National Provider Identifier
1083929566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 79937
- Practice address
- 328 Applestille Rd
El Centro, CA 92243-9661 - Phone
- (442) 265-2254
- Fax
- (760) 336-3995
- NPI assigned
- Aug 9, 2010
- 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 | 79937 | CA | Primary |
Addresses
Primary practice location
328 Applestille Rd
El Centro, CA 92243-9661
Mailing address
328 Applestille Rd
El Centro, CA 92243-9661
Phone (442) 265-2254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79937 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lgbtq Telepsychiatry | Current | Accepting new patients |
Locations
1755 Coburg Rd
Unit 301
Eugene, OR 97401
Phone (458) 234-0082
1309 Coffeen Ave
Ste 1200
Sheridan, WY 82801
Phone (307) 459-2801
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685232000000",
"number": "1083929566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 APPLESTILLE RD",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922439661",
"telephone_number": "442-265-2254",
"fax_number": "760-336-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 APPLESTILLE RD",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922439661",
"telephone_number": "442-265-2254",
"fax_number": "760-336-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPIA",
"first_name": "CARLOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-09",
"last_updated": "2023-05-28",
"certification_date": "2023-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "79937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.