Active NPI
Vanessa M Reyes-Bermudez
- Social Worker
- Los Angeles, CA
National Provider Identifier
1285076836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 423 N Hoover St
Los Angeles, CA 90004-2306 - Phone
- (323) 300-1830
- NPI assigned
- Jul 24, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
423 N Hoover St
Los Angeles, CA 90004-2306
Mailing address
1355 S Hill St
Los Angeles, CA 90015-3012
Phone (213) 389-5820
Other practice location 1
1891 Effie St
Los Angeles, CA 90026-1711
Phone (323) 644-2000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateways Hospital & Mental Health Center | Current | Accepting new patients |
Locations
1891 Effie St
Los Angeles, CA 90026
423 N Hoover St
Los Angeles, CA 90004
Phone (323) 268-2100
Organizations & group practices 1
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.
-
dba Gateway Hospital & Community MH Center
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1720151137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1285076836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 S HILL ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153012",
"telephone_number": "213-389-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 N HOOVER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900042306",
"telephone_number": "323-300-1830"
}
],
"practiceLocations": [
{
"address_1": "1891 Effie St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900261711",
"country_code": "US",
"telephone_number": "323-644-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES-BERMUDEZ",
"first_name": "VANESSA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-24",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"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 Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.