Active NPI
Michael Akinbolawa
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1275156846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 82034
- Practice address
- Department of Veterans Affairs
Los Angeles, CA 90073 - Phone
- (310) 478-3711
- NPI assigned
- May 18, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 82034 | CA | Primary |
Addresses
Primary practice location
Department of Veterans Affairs
Los Angeles, CA 90073
Mailing address
1326 W Carson St Apt 115
Torrance, CA 90501-6500
Other practice location 1
733 Hindry Ave # 10
Inglewood, CA 90301-3030
Phone (310) 215-0960 ext. 71008
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 |
|---|---|---|---|
| 82034 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1275156846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 W CARSON ST APT 115",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905016500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF VETERANS AFFAIRS",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90073",
"telephone_number": "310-478-3711"
}
],
"practiceLocations": [
{
"address_1": "733 Hindry Ave # 10",
"address_purpose": "LOCATION",
"city": "Inglewood",
"state": "CA",
"postal_code": "903013030",
"country_code": "US",
"telephone_number": "310-215-0960 x71008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKINBOLAWA",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-18",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "82034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.