Individual provider Active NPI

Pablo Orozco-Castro, LCSW

  • Social Worker
  • Los Angeles, CA
National Provider Identifier
1265813653
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
112650 Issued in CA
Practice address
1212 S Ogden Dr
Los Angeles, CA 90019-2430
Phone
(831) 245-3358
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 112650 CA Primary

Addresses

Primary practice location

1212 S Ogden Dr
Los Angeles, CA 90019-2430

Mailing address

PO Box 7967
Santa Cruz, CA 95061-7967

Other practice location 1

5400 Pomona Blvd
Los Angeles, CA 90022-1717
Phone (323) 720-9951

Other identifiers 2

IdentifierTypeStateIssuer
95-4526760OtherCALOS ANGELES COUNTY MEDICARE
ZZZ91892ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP PTAN#

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
I20240222004100 CA Practitioner - Clinical Social Worker 1052755592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Venice Family ClinicGroup PAC ID 2264339126, 101 clinicians

Practice addresses (Care Compare)

604 Rose Ave
Venice, CA 90291-2767
Phone (310) 664-7901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112650CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Venice Family Clinic CurrentSince Jan 3, 2024 Accepting new patients
Venice Family Clinic Current Accepting new patients
Venice Family Clinic CurrentSince Jan 3, 2024 Accepting new patients
Venice Family Clinic Current Accepting new patients
Venice Family Clinic Current Accepting new patients
Xochipilli Counseling Collective CurrentSince Apr 6, 2025 Accepting new patients
Encompass Community Services PastSince Aug 2, 2020 Accepting new patients

Locations

742 W Gardena Blvd
Gardena, CA 90247
Phone (310) 327-1357

1091 S La Brea Ave
Inglewood, CA 90301
Phone (310) 330-2960

4700 Inglewood Blvd
Ste 102
Los Angeles, CA 90230
Phone (310) 664-7901

2114 Artesia Blvd
Redondo Beach, CA 90278
Phone (310) 318-2521

2509 Pico Blvd
Santa Monica, CA 90405
Phone (310) 664-7901

622 Rose Ave
Venice, CA 90291
Phone (310) 664-7941

604 Rose Ave
Venice, CA 90291
Phone (310) 392-8630

905 Venice Blvd
Venice, CA 90291
Phone (310) 392-8630

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1265813653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7967",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950617967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S OGDEN DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192430",
            "telephone_number": "831-245-3358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Pomona Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900221717",
            "country_code": "US",
            "telephone_number": "323-720-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OROZCO-CASTRO",
        "first_name": "PABLO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "112650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOS ANGELES COUNTY MEDICARE",
            "identifier": "95-4526760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
            "identifier": "ZZZ91892Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.