Individual provider Active NPI

Martha Vargas-Rico, LCSW

  • Social Worker
  • Oceanside, CA
National Provider Identifier
1184820474
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS26402 Issued in CA
Practice address
2125 S El Camino Real Ste 200
Oceanside, CA 92054-6260
Phone
(760) 730-5900
Fax
(760) 730-5911
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS26402 CA Primary

Addresses

Primary practice location

2125 S El Camino Real Ste 200
Oceanside, CA 92054-6260

Mailing address

1765 Old Glen St
San Marcos, CA 92078-1069
Phone (760) 473-8262

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
LCS26402CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1184820474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 OLD GLEN ST",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781069",
            "telephone_number": "760-473-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 S EL CAMINO REAL STE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546260",
            "telephone_number": "760-730-5900",
            "fax_number": "760-730-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-RICO",
        "first_name": "MARTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS26402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.