Individual provider Active NPI

Souna Mohseni, ASW

  • Clinical Social Worker
  • Mission Viejo, CA
National Provider Identifier
1205415254
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW100469 Issued in CA
Practice address
27001 La Paz Rd Ste 448-Ba
Mission Viejo, CA 92691-5502
Phone
(747) 230-9245
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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 ASW100469 CA Primary

Addresses

Primary practice location

27001 La Paz Rd Ste 448-Ba
Mission Viejo, CA 92691-5502

Mailing address

23315 La Crescenta Apt a
Mission Viejo, CA 92691-6873
Phone (747) 230-9245

Other names 1

  • Souna Mohseni Former name

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
I20230831003508 CA Practitioner - Clinical Social Worker 0244693687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Medical Center IncGroup PAC ID 2769666817, 12 clinicians

Practice addresses (Care Compare)

14550 Haynes St
Van Nuys, CA 91411-1613
Phone (818) 650-6700

18427 Vincennes St
Suite 133
Northridge, CA 91325-2173
Phone (747) 230-9245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW100469CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Medical Center, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Southern California Medical Center, Inc. Current Accepting new patients
Sona Life Harmony Inc Clinical CurrentSince Jun 1, 2025 Accepting new patients
Southern California Medical Center, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Southern California Medical Center, Inc. Past Accepting new patients

Locations

12100 Valley Blvd
Ste 109A
El Monte, CA 91732
Phone (626) 575-7500

Interoperability endpoints

  • Direct secure messaging: souna.mohseni.p1@direct.scmedcenter.nextgenshare.com

Organizations & group practices 5

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1205415254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23315 LA CRESCENTA APT A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916873",
            "telephone_number": "747-230-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD STE 448-BA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "747-230-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHSENI",
        "first_name": "SOUNA",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW100469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOUNA",
            "last_name": "MOHSENI",
            "credential": "ASW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.