Individual provider Active NPI

Jaime Carlos Jr.

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1285129429
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121105 Issued in CA
Practice address
6051 N Fresno St Ste 202
Fresno, CA 93710-5280
Phone
(559) 231-4457
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 97892 CA
Clinical Social Worker 1041C0700X 121105 CA Primary

Addresses

Primary practice location

6051 N Fresno St Ste 202
Fresno, CA 93710-5280

Mailing address

6051 N Fresno St Ste 202
Fresno, CA 93710-5280
Phone (559) 216-1075

Other practice location 1

1410 F St Ste 101
Fresno, CA 93706-1608
Phone (559) 231-4457

Other practice location 2

1396 W Herndon Ave
Fresno, CA 93711-7126
Phone (559) 231-4457

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

LicenseStateTypeSpecialty
97892CAMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1285129429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 N FRESNO ST STE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105280",
            "telephone_number": "559-216-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N FRESNO ST STE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105280",
            "telephone_number": "559-231-4457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 F St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937061608",
            "country_code": "US",
            "telephone_number": "559-231-4457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1396 W Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937117126",
            "country_code": "US",
            "telephone_number": "559-231-4457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "JAIME",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "97892",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.