Stephanie Jordan De Leon

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

6330 Rugby Ave
Suite 200
Huntington Park, CA 90255-4066

Phone

(323) 277-7678

Fax

(323) 277-7686

NPI assigned

Jun 24, 2013

Last updated

Jun 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1174962062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 RUGBY AVE",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554066",
            "telephone_number": "323-277-7678",
            "fax_number": "323-277-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RUGBY AVE",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554066",
            "telephone_number": "323-277-7678",
            "fax_number": "323-277-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "STEPHANIE",
        "middle_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.