Active NPI
Mabel Salvatierra Mata, LCSW
- Clinical Social Worker
- Rancho Cucamonga, CA
National Provider Identifier
1285057661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29068
- Practice address
- 8520 Archibald Ave
Suite a
Rancho Cucamonga, CA 91730-4648 - Phone
- (951) 892-8198
- NPI assigned
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 29068 | CA | Primary |
Addresses
Primary practice location
8520 Archibald Ave
Suite a
Rancho Cucamonga, CA 91730-4648
Mailing address
1901 Elsinore Rd
Riverside, CA 92506-1619
Phone (951) 892-8198
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29068 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1285057661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 ELSINORE RD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061619",
"telephone_number": "951-892-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8520 ARCHIBALD AVE",
"address_2": "SUITE A",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304648",
"telephone_number": "951-892-8198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATA",
"first_name": "MABEL",
"middle_name": "SALVATIERRA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "29068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.