Active NPI
Daisy Vargas
- Social Worker
- Montclair, CA
National Provider Identifier
1114303252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 77437
- Practice address
- 9828 Central Ave
Montclair, CA 91763-2817 - Phone
- (909) 445-7520
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 77437 | CA | Primary |
Addresses
Primary practice location
9828 Central Ave
Montclair, CA 91763-2817
Mailing address
815 Colorado Blvd Ste 300
Los Angeles, CA 90041-1744
Phone (323) 543-2800
Other practice location 1
4164 Brockton Ave
Riverside, CA 92501-3400
Phone (951) 683-5193
Other practice location 2
14677 Merill Ave
Fontana, CA 92335
Phone (951) 643-2340
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 |
|---|---|---|---|
| 77437 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alondra Loya | Past | Accepting new patients |
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.
-
- Case Manager/Care Coordinator
- Fontana, CA
- NPI 1568160828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1114303252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 COLORADO BLVD STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411744",
"telephone_number": "323-543-2800",
"fax_number": "323-978-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9828 CENTRAL AVE",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632817",
"telephone_number": "909-445-7520"
}
],
"practiceLocations": [
{
"address_1": "4164 Brockton Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925013400",
"country_code": "US",
"telephone_number": "951-683-5193",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14677 Merill Ave",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "92335",
"country_code": "US",
"telephone_number": "951-643-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGAS",
"first_name": "DAISY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "77437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.