Individual provider Active NPI

Yasuyo Abo

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1093364234
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129398 Issued in CA
Practice address
231 E 3Rd St Ste G106
Los Angeles, CA 90013-1493
Phone
(213) 473-3035
NPI assigned
Sep 10, 2019
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 91586 CA
Social Worker 104100000X 91586 CA
Rehabilitation Practitioner 225400000X CA
Clinical Social Worker 1041C0700X 129398 CA Primary

Addresses

Primary practice location

231 E 3Rd St Ste G106
Los Angeles, CA 90013-1493

Mailing address

231 E 3Rd St Ste G106
Los Angeles, CA 90013-1493
Phone (213) 473-3035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929000114 CA Practitioner - Clinical Social Worker 7719482868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1421 Pedley Dr
Alhambra, CA 91803-3942

520 S la Fayette Park PL FL
Suite 3
Los Angeles, CA 90057-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91586CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. CurrentSince Jul 4, 2025 Accepting new patients
Special Service for Groups, Inc. Current Accepting new patients
Special Service for Groups, Inc. CurrentSince Jul 4, 2025 Accepting new patients

Locations

515 Columbia Ave
Ste 100
Los Angeles, CA 90017
Phone (213) 553-1884

905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1093364234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E 3RD ST STE G106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131493",
            "telephone_number": "213-473-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E 3RD ST STE G106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131493",
            "telephone_number": "213-473-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABO",
        "first_name": "YASUYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "91586",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "91586",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "129398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.