Active NPI
Steve B Delgado
- Clinical Social Worker
- Lynwood, CA
National Provider Identifier
1124429592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114894
- Practice address
- 2640 Industry Way
Lynwood, CA 90262-4284 - Phone
- (310) 627-4525
- NPI assigned
- Sep 4, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 114894 | CA | Primary |
Addresses
Primary practice location
2640 Industry Way
Lynwood, CA 90262-4284
Mailing address
2640 Industry Way
Lynwood, CA 90262-4284
Phone (310) 627-4525
Other practice location 1
1107 N. Bush #2
Santa Ana, CA 92701
Phone (714) 866-8364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Other | N/A |
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 |
|---|---|---|---|
| 114894 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1124429592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 INDUSTRY WAY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624284",
"telephone_number": "310-627-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 INDUSTRY WAY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624284",
"telephone_number": "310-627-4525"
}
],
"practiceLocations": [
{
"address_1": "1107 N. BUSH #2",
"address_purpose": "LOCATION",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92701",
"country_code": "US",
"telephone_number": "714-866-8364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELGADO",
"first_name": "STEVE",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-04",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "114894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "N/A",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.