Active NPI
Juan Manuel Amezcua
- Clinical Social Worker
- Lancaster, CA
National Provider Identifier
1285387258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 44459 10TH St W
Lancaster, CA 93534-3324 - Phone
- (661) 726-2630
- NPI assigned
- Jan 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
44459 10TH St W
Lancaster, CA 93534-3324
Mailing address
43013 38TH St W
Lancaster, CA 93536-4905
Phone (661) 495-8384
Other practice location 1
16940 Highway 14
Mojave, CA 93501-1238
Phone (661) 824-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-2633765 | Other | CA | MEDI-CAL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarvida | Past | Accepting new patients |
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.
-
- Day Training/Habilitation Specialist
- Mojave, CA
- NPI 1134073679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1285387258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43013 38TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935364905",
"telephone_number": "661-495-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44459 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343324",
"telephone_number": "661-726-2630"
}
],
"practiceLocations": [
{
"address_1": "16940 Highway 14",
"address_purpose": "LOCATION",
"city": "Mojave",
"state": "CA",
"postal_code": "935011238",
"country_code": "US",
"telephone_number": "661-824-5020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMEZCUA",
"first_name": "JUAN",
"middle_name": "MANUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-31",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "95-2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.