Individual provider Active NPI

Gabriela Jasso Tapia, LCSW

  • Clinical Social Worker
  • Fillmore, CA
National Provider Identifier
1114042918
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
828 W Ventura St Ste 240
Fillmore, CA 93015-1882
Phone
(805) 524-8659
NPI assigned
Mar 20, 2007
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

828 W Ventura St Ste 240
Fillmore, CA 93015-1882

Mailing address

828 W Ventura St Ste 240
Fillmore, CA 93015-1882
Phone (805) 524-8659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29206CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Current Accepting new patients
Santa Paula Behavioral Health Clinic Past Accepting new patients

Locations

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 2

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1114042918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 W VENTURA ST STE 240",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151882",
            "telephone_number": "805-524-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 W VENTURA ST STE 240",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151882",
            "telephone_number": "805-524-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASSO TAPIA",
        "first_name": "GABRIELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fillmore, CA

Sources for this page

Verify at the official NPI Registry.