Individual provider Active NPI

Eva Anjelina Lomeli, LCSW

  • Clinical Social Worker
  • Modesto, CA
National Provider Identifier
1184748592
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23504 Issued in CA
Practice address
1524 McHenry Ave Ste 450
Modesto, CA 95350-4574
Phone
(209) 557-6225
Fax
(209) 557-9032
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23504 CA Primary

Addresses

Primary practice location

1524 McHenry Ave Ste 450
Modesto, CA 95350-4574

Mailing address

1225 Oakdale Rd
VA Palo Alto Health Care System
Modesto, CA 95355-3357
Phone (209) 557-6225

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1184748592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 OAKDALE RD",
            "address_2": "VA PALO ALTO HEALTH CARE SYSTEM",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553357",
            "telephone_number": "209-557-6225",
            "fax_number": "209-557-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE STE 450",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504574",
            "telephone_number": "209-557-6225",
            "fax_number": "209-557-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMELI",
        "first_name": "EVA",
        "middle_name": "ANJELINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.