Individual provider Active NPI

Esmeralda Nunez, LCSW

  • Clinical Social Worker
  • Oxnard, CA
National Provider Identifier
1265781371
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69885 Issued in CA
Practice address
1911 Williams Dr Ste C
Oxnard, CA 93036-2612
Phone
(805) 981-8480
NPI assigned
Sep 5, 2012
Last updated
Nov 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 69885 CA Primary
Clinical Social Worker 1041C0700X 33727 CA

Addresses

Primary practice location

1911 Williams Dr Ste C
Oxnard, CA 93036-2612

Mailing address

414 E Cota St
Santa Barbara, CA 93101-1624
Phone (805) 617-7858

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
I20201105002599 CA Practitioner - Clinical Social Worker 5799195574 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Avalon Medical Development CorporationGroup PAC ID 1850283995, 28 clinicians

Practice addresses (Care Compare)

100 Falls Canyon Rd
Avalon, CA 90704-2990
Phone (310) 510-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69885CAMDMarriage & Family Therapist
33727CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Medical Center Tehachapi Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Avalon Medical Development Corporation Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Adventist Health Medical Center Tehachapi Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
San Bernardino Mountains Community Hospital District Single Specialty CurrentSince Aug 1, 2021 Accepting new patients

Locations

100 Falls Canyon Rd
Avalon, CA 90704
Phone (310) 510-0700

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

Interoperability endpoints

  • Direct secure messaging: esmeralda.nunez.1@14021.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1265781371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E COTA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011624",
            "telephone_number": "805-617-7858",
            "fax_number": "805-963-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR STE C",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362612",
            "telephone_number": "805-981-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "ESMERALDA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "69885",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "33727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.