Active NPI
Valentina Del Olmo, LCSW
- Clinical Social Worker
- Fremont, CA
National Provider Identifier
1184792301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27074
- Practice address
- 39210 State St Ste 200
Fremont, CA 94538-1456 - Phone
- (510) 896-8958
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | ASW19281 | CA | |
| Clinical Social Worker | 1041C0700X | 27074 | CA | Primary |
Addresses
Primary practice location
39210 State St Ste 200
Fremont, CA 94538-1456
Mailing address
39210 State St Ste 200
Fremont, CA 94538-1456
Phone (510) 896-8958
Other practice location 1
1000 W Carson St
Harbor UCLA Medical Center
Torrance, CA 90502-2004
Phone (310) 222-5270
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW19281 | CA | MD | Clinical Social Worker |
| 27074 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Carreon MD Inc | Past | 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": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521849600000",
"number": "1184792301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39210 STATE ST STE 200",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381456",
"telephone_number": "510-896-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39210 STATE ST STE 200",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381456",
"telephone_number": "510-896-8958"
}
],
"practiceLocations": [
{
"address_1": "1000 W Carson St",
"address_2": "Harbor UCLA Medical Center",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022004",
"country_code": "US",
"telephone_number": "310-222-5270",
"fax_number": "310-212-7609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEL OLMO",
"first_name": "VALENTINA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2018-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW19281",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.