Individual provider Active NPI

Randy Alfredo Del Cid, LCSW

  • Clinical Social Worker
  • West Covina, CA
National Provider Identifier
1184904997
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW94420 Issued in CA
Practice address
1050 Lakes Dr Ste 225
West Covina, CA 91790-2910
Phone
(661) 209-3614
Fax
(661) 524-9950
NPI assigned
Aug 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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 LCSW94420 CA Primary

Addresses

Primary practice location

1050 Lakes Dr Ste 225
West Covina, CA 91790-2910

Mailing address

1050 Lakes Dr.
Suite 225 #2811
West Covina, CA 91790
Phone (661) 209-3614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316001236 CA Practitioner - Clinical Social Worker 2466826300 Practice locations: West Covina, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW94420CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Family Service 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1184904997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LAKES DR.",
            "address_2": "SUITE 225 #2811",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "661-209-3614",
            "fax_number": "661-524-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LAKES DR STE 225",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902910",
            "telephone_number": "661-209-3614",
            "fax_number": "661-524-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CID",
        "first_name": "RANDY",
        "middle_name": "ALFREDO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW94420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.