Active NPI
Abel Quintana
- Social Worker
- Long Beach, CA
National Provider Identifier
1255026175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW109484
- Practice address
- 200 Pine Ave Ste 400
Long Beach, CA 90802-3039 - Phone
- (888) 242-2522
- NPI assigned
- Apr 6, 2023
- Last updated
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW109484 | CA | |
| Social Worker | 104100000X | ASW109484 | CA | Primary |
Addresses
Primary practice location
200 Pine Ave Ste 400
Long Beach, CA 90802-3039
Mailing address
200 Pine Ave Ste 400
Long Beach, CA 90802-3039
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW109484 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1255026175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PINE AVE STE 400",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908023039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PINE AVE STE 400",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908023039",
"telephone_number": "888-242-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "ABEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-06",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW109484",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW109484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.