NPIMap

Individual provider Active NPI

Erick Santos

  • Clinical Social Worker
  • Santa Fe Springs, CA
National Provider Identifier
1225450463
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
95340 Issued in CA
Practice address
10210 Orr and Day Rd Ste B
Santa Fe Springs, CA 90670-3581
Phone
(562) 270-5247
NPI assigned
Jan 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Rehabilitation Practitioner 225400000X
Clinical Social Worker 1041C0700X 95340 CA Primary

Addresses

Primary practice location

10210 Orr and Day Rd Ste B
Santa Fe Springs, CA 90670-3581

Mailing address

10210 Orr and Day Rd Ste B
Santa Fe Springs, CA 90670-3581
Phone (562) 270-5247

Other practice location 1

29325 Kimberlina Road
Wasco, CA 93280
Phone (661) 758-4029

Other practice location 2

1555 Parkmoor Ave
San Jose, CA 95128-2407
Phone (408) 282-0402

Other practice location 3

6736 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606-1576
Phone (717) 755-8786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 24, 2023 through May 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Public Health Current Accepting new patients
College Community Services Past Accepting new patients
Hope Services PastSince Mar 20, 2022 Accepting new patients
Hope Services Mental Health PastSince Jan 1, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ericksantos-lacada@lacsapc.netsmartdirect.net

Organizations & group practices 4

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": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1225450463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 ORR AND DAY RD STE B",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703581",
            "telephone_number": "562-270-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 ORR AND DAY RD STE B",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703581",
            "telephone_number": "562-270-5247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29325 Kimberlina Road",
            "address_purpose": "LOCATION",
            "city": "Wasco",
            "state": "CA",
            "postal_code": "93280",
            "country_code": "US",
            "telephone_number": "661-758-4029",
            "fax_number": "661-758-0891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Parkmoor Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282407",
            "country_code": "US",
            "telephone_number": "408-282-0402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6736 Laurel Canyon Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916061576",
            "country_code": "US",
            "telephone_number": "717-755-8786",
            "fax_number": "818-824-9996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-07",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

Verify at the official NPI Registry.