Individual provider Active NPI

Karla Yanelli Perez

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1265040521
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114635 Issued in CA
Practice address
5585 E Pacific Coast Hwy Unit 203
Long Beach, CA 90804-9467
Phone
(323) 680-2935
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 114635
Clinical Social Worker 1041C0700X 114635 CA Primary

Addresses

Primary practice location

5585 E Pacific Coast Hwy Unit 203
Long Beach, CA 90804-9467

Mailing address

2436 E 4TH St PMB 1017
Long Beach, CA 90814
Phone (562) 544-4426

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

LicenseStateTypeSpecialty
114635CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alma Feliz Therapy Licensed Clinical Social Worker Inc. Clinical CurrentSince Mar 24, 2024 Accepting new patients
Special Service for Groups, Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

2436 E 4th St
Long Beach, CA 90814
Phone (213) 444-3936

Organizations & group practices 2

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1265040521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 E 4TH ST PMB 1017",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90814",
            "telephone_number": "562-544-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 E PACIFIC COAST HWY UNIT 203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908049467",
            "telephone_number": "323-680-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KARLA",
        "middle_name": "YANELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "114635",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114635",
            "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 Mar 19, 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.

Verify at the official NPI Registry.