Active NPI
Christian Porto, ASW
- Clinical Social Worker
- Santa Clara, CA
National Provider Identifier
1275014763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121427
- Practice address
- 5201 Great America Pkwy
Santa Clara, CA 95054-1122 - Phone
- (323) 205-7088
- NPI assigned
- Aug 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 94011 | CA | |
| Mental Health Counselor | 101YM0800X | ASW94011 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 121427 | CA | Primary |
Addresses
Primary practice location
5201 Great America Pkwy
Santa Clara, CA 95054-1122
Mailing address
5201 Great America Pkwy
Santa Clara, CA 95054-1122
Phone (323) 205-7088
Other practice location 1
4930 Naples St
San Diego, CA 92110-3820
Phone (619) 276-1176
Other practice location 2
3998 Vista Way Ste E
Oceanside, CA 92056-4514
Phone (760) 295-9830
Other practice location 3
1738 S Tremont St
Oceanside, CA 92054-5309
Phone (760) 439-2800
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 |
|---|---|---|---|
| 94011 | CA | MD | Mental Health Counselor |
| ASW94011 | CA | MD | Mental Health Counselor |
| 121427 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1275014763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 GREAT AMERICA PKWY",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541122",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 GREAT AMERICA PKWY",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541122",
"telephone_number": "323-205-7088"
}
],
"practiceLocations": [
{
"address_1": "4930 Naples St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921103820",
"country_code": "US",
"telephone_number": "619-276-1176",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3998 Vista Way Ste E",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920564514",
"country_code": "US",
"telephone_number": "760-295-9830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1738 S Tremont St",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920545309",
"country_code": "US",
"telephone_number": "760-439-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTO",
"first_name": "CHRISTIAN",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "94011",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW94011",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "121427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.