Individual provider Active NPI

Angelica Jazmin Alonso Cortes

  • Social Worker
  • Santa Fe Springs, CA
National Provider Identifier
1134643448
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
11721 Telegraph Rd Ste a
Santa Fe Springs, CA 90670-6835
Phone
(562) 949-8455
NPI assigned
Jul 28, 2017
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW109579 CA
Social Worker 104100000X Primary
Social Worker 104100000X ASW109579 CA
Student in an Organized Health Care Education/Training Program 390200000X
Rehabilitation Practitioner 225400000X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

11721 Telegraph Rd Ste a
Santa Fe Springs, CA 90670-6835

Mailing address

11721 Telegraph Rd Ste a
Santa Fe Springs, CA 90670-6835
Phone (562) 949-8455

Other practice location 1

2610 industry Way Suite A
Lynwood, CA 90262
Phone (310) 631-8004

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

LicenseStateTypeSpecialty
ASW109579CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Public Health Current Accepting new patients
Xochipilli Counseling Collective Past Accepting new patients
Pacific Clinics PastSince Aug 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angelicaalonso-cortes-clarefoundation@lacsapc.netsmartdirect.net

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1134643448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 TELEGRAPH RD STE A",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706835",
            "telephone_number": "562-949-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11721 TELEGRAPH RD STE A",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706835",
            "telephone_number": "562-949-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 industry Way Suite A",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "90262",
            "country_code": "US",
            "telephone_number": "310-631-8004",
            "fax_number": "310-631-5875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALONSO CORTES",
        "first_name": "ANGELICA",
        "middle_name": "JAZMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW109579",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW109579",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.