Individual provider Active NPI

Denise A Cervantes, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1164540449
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110136 Issued in CA
Practice address
350 S Bixel St Ste 150
Los Angeles, CA 90017-1418
Phone
(213) 749-4261
Fax
(213) 745-1040
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 110136 CA Primary

Addresses

Primary practice location

350 S Bixel St Ste 150
Los Angeles, CA 90017-1418

Mailing address

350 S Bixel St Ste 150
Los Angeles, CA 90017-1418
Phone (213) 749-4261

Other practice location 1

10155 Colima Rd
Whittier, CA 90603-2063
Phone (562) 692-0383 ext. 248

Other names 1

  • Denise Aguilar Former name

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
110136CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Maternal and Child Health Access PastSince Jul 31, 2023 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1164540449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S BIXEL ST STE 150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171418",
            "telephone_number": "213-749-4261",
            "fax_number": "213-745-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S BIXEL ST STE 150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171418",
            "telephone_number": "213-749-4261",
            "fax_number": "213-745-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10155 Colima Rd",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906032063",
            "country_code": "US",
            "telephone_number": "562-692-0383 x248",
            "fax_number": "562-692-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "DENISE",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "AGUILAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.