Active NPI
Damaris Tobar, LCSW
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1154950681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118582
- Practice address
- 2650 E Foothill Blvd
Pasadena, CA 91107-3439 - Phone
- (626) 239-7345
- NPI assigned
- Apr 6, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 118582 | CA | Primary |
Addresses
Primary practice location
2650 E Foothill Blvd
Pasadena, CA 91107-3439
Mailing address
2650 E Foothill Blvd
Pasadena, CA 91107-3439
Other practice location 1
240 Shotwell St
San Francisco, CA 94110-1323
Phone (415) 552-3870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88371 | Other | CA | BBS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dtobar@prototypes.org | ||
| CONNECT URL | dtobar@prototypes.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1154950681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 E FOOTHILL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 E FOOTHILL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073439",
"telephone_number": "626-239-7345"
}
],
"practiceLocations": [
{
"address_1": "240 Shotwell St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941101323",
"country_code": "US",
"telephone_number": "415-552-3870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOBAR",
"first_name": "DAMARIS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2024-06-18",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "118582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS",
"identifier": "88371",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dtobar@prototypes.org",
"affiliation": "N",
"address_1": "2650 E Foothill Blvd",
"city": "Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "911073439",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dtobar@prototypes.org",
"affiliation": "N",
"address_1": "2650 E Foothill Blvd",
"city": "Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "911073439",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.