Individual provider Active NPI

Virginia Carbajal Chalmers

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1265613715
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28053 Issued in CA
Practice address
200 E Washington Ave Ste 100
Escondido, CA 92025-1806
Phone
(760) 737-8642
Fax
(760) 737-8918
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28053 CA Primary

Addresses

Primary practice location

200 E Washington Ave Ste 100
Escondido, CA 92025-1806

Mailing address

447 N El Molino Ave
Pasadena, CA 91101-1403
Phone (626) 577-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000194 CA Practitioner - Clinical Social Worker 2961669494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28053CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North County Health Project Inc CurrentSince Jul 15, 2019 Accepting new patients
North County Health Project Inc CurrentSince Jul 15, 2019 Accepting new patients
North County Health Project Inc Clinical PastSince Oct 2, 2022 Accepting new patients

Locations

619 Crouch St
Ste 100
Oceanside, CA 92054
Phone (760) 736-6700

150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1265613715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 N EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011403",
            "telephone_number": "626-577-8480",
            "fax_number": "626-577-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WASHINGTON AVE STE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251806",
            "telephone_number": "760-737-8642",
            "fax_number": "760-737-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALMERS",
        "first_name": "VIRGINIA",
        "middle_name": "CARBAJAL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.