Active NPI
Xavier Laris
- Social Worker
- Covina, CA
National Provider Identifier
1275918245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 535 S 2ND Ave
Covina, CA 91723-3013 - Phone
- (626) 214-1480
- NPI assigned
- Jul 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X | 66177 | CA |
Addresses
Primary practice location
535 S 2ND Ave
Covina, CA 91723-3013
Mailing address
535 S Second Ave
Covina, CA 91723
Phone (626) 214-1480
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 |
|---|---|---|---|
| 66177 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1275918245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 S SECOND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "91723",
"telephone_number": "626-214-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 S 2ND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233013",
"telephone_number": "626-214-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARIS",
"first_name": "XAVIER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-20",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "66177",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.