Edgar Rico

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100177 Issued in CA

Practice address

1160 S Grand Ave
Glendora, CA 91740-5000

Phone

(626) 335-5980

Fax

(626) 335-5989

NPI assigned

Feb 24, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Self Care Counseling Marriage Family and Child Therapy Inc.

  • Psychologist
  • Los Angeles, CA
  • NPI 1558909960

  Mental Health

  Medicare reassignment NPD
• Bienvenidos Children'S Center, Inc

  • Community/Behavioral Health Agency
  • Montebello, CA
  • NPI 1336271956
  NPD (past)

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1104241470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 ARTSON ST",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702611",
            "telephone_number": "626-378-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405000",
            "telephone_number": "626-335-5980",
            "fax_number": "626-335-5989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906403810",
            "country_code": "US",
            "telephone_number": "323-869-9255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICO",
        "first_name": "EDGAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-24",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW76002",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L. Forgey Lori L. Matsuno Partnership
• N Rowan Richards, D.C.
• Cynthia Marie Richardson, LCSW
• Jordan Grace Richmond, ATC
• Rickman Recovery Centers
• Regina Rico, RN
• Beckie Riggs, LMFT
• Right Choice a Health Care Service Company,Inc.
• Lina Marcela Rios Restrepo, FNP
• Beatriz Arroyo Rios

• Clinical Social Worker in Glendora, CA
• Providers in Glendora, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.

Verify at the official NPI Registry.