Active NPI
Bianca Clary
- Community Health Worker
- Laguna Hills, CA
National Provider Identifier
1245080696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 23461 S Pointe Dr Ste 220
Laguna Hills, CA 92653-1523 - Phone
- (949) 855-1556
- Fax
- (949) 951-2871
- NPI assigned
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | Primary |
Addresses
Primary practice location
23461 S Pointe Dr Ste 220
Laguna Hills, CA 92653-1523
Mailing address
23461 S Pointe Dr Ste 220
Laguna Hills, CA 92653-1523
Phone (949) 855-1556
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1245080696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23461 S POINTE DR STE 220",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531523",
"telephone_number": "949-855-1556",
"fax_number": "949-951-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23461 S POINTE DR STE 220",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531523",
"telephone_number": "949-855-1556",
"fax_number": "949-951-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARY",
"first_name": "BIANCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
- Helen Patricia Clark, M.A., SLP-CCC
- Lori Lynn Clark
- Ryan Patrick Clark, D.C.
- Katharine Ann Clarke, P.T & PSYCHOLOGIST
- Susan Clarke, L.M.F.T.
- Clayton Thomas Nole D.C.,Chiropractic Corporation
- Sabrina Clemons
- Jodi Cline, LMFT
- Coastal Cardiovascular Institute, Inc.
- Coastal Comprehensive Care Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.