Evelyn E Vides

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

89969 Issued in CA

Practice address

1350 Arnold Dr Ste 102
Martinez, CA 94553-4190

Phone

(925) 313-9562

Fax

(925) 228-2932

NPI assigned

Mar 28, 2007

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Contra Costa County

  dba A3 Crisis Services

  • Community/Behavioral Health Agency
  • Concord, CA
  • NPI 1124596333
  NPD (past)
• Desarrollo Familiar

  dba Familias Unidas

  • Community/Behavioral Health Agency
  • Richmond, CA
  • NPI 1376692459
  NPD (past)
• Desarrollo Familiar, Inc

  dba Lovonya DeJean Middle School

  • Local Education Agency (LEA)
  • Richmond, CA
  • NPI 1548131691
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1205955291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 CHANDLER CIR",
            "city": "BAY POINT",
            "state": "CA",
            "postal_code": "945656917",
            "telephone_number": "925-787-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 ARNOLD DR STE 102",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534190",
            "telephone_number": "925-313-9562",
            "fax_number": "925-228-2932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3478 Buskirk Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "CA",
            "postal_code": "945234358",
            "country_code": "US",
            "telephone_number": "925-943-1794",
            "fax_number": "925-943-6091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Main St",
            "address_purpose": "LOCATION",
            "city": "Oakley",
            "state": "CA",
            "postal_code": "945613302",
            "country_code": "US",
            "telephone_number": "925-776-8223",
            "fax_number": "925-776-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1266 14th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946072205",
            "country_code": "US",
            "telephone_number": "510-273-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 39th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "94805",
            "country_code": "US",
            "telephone_number": "510-412-5930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDES",
        "first_name": "EVELYN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Velez, MD
• Stacy Velles
• Stephanie M Vera, OTR/L
• Guadalupe Verduzco Galvan
• Yoneditho Requillo Vestal
• Venetia Vigil
• Jacqueline Villa
• Angela Villareal
• Kelly Lorraine Villegas, PHARM.D.
• Carl Yanga Vinson

• Clinical Social Worker in Martinez, CA
• Providers in Martinez, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.