Active NPI
Guadalupe Cortez
- Clinical Social Worker
- Lakewood, CA
National Provider Identifier
1174955165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 80472
- Practice address
- 4060 Watson Plaza Dr
Lakewood, CA 90712-4033 - Phone
- (213) 348-4175
- NPI assigned
- Aug 1, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Clinical Social Worker | 1041C0700X | 80472 | CA | Primary |
Addresses
Primary practice location
4060 Watson Plaza Dr
Lakewood, CA 90712-4033
Mailing address
4060 Watson Plaza Dr
Lakewood, CA 90712-4033
Phone (213) 348-4175
Other practice location 1
2629 Clarendon Ave
Huntington Park, CA 90255-4119
Phone (323) 584-3700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80472 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1174955165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 WATSON PLAZA DR",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907124033",
"telephone_number": "213-348-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 WATSON PLAZA DR",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907124033",
"telephone_number": "213-348-4175"
}
],
"practiceLocations": [
{
"address_1": "2629 Clarendon Ave",
"address_purpose": "LOCATION",
"city": "Huntington Park",
"state": "CA",
"postal_code": "902554119",
"country_code": "US",
"telephone_number": "323-584-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORTEZ",
"first_name": "GUADALUPE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "80472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.