Esmeralda Nevarez
Individual provider Active NPI Clinical Social Worker · Pasadena, CA
NPI 1295865798 · NPPES record last updated Apr 11, 2017
Key facts
- NPI
- 1295865798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 76374 (CA)
- Practice address
- 2555 E Colorado Blvd
Pasadena, CA 91107-6622 - Phone
- (626) 577-2261
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of Southern California Keck School of Medicine, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Northeast Valley Health Corporation
Practice addresses (Care Compare)
7107 Remmet Ave
Canoga Park, CA 91303-2016
Phone (818) 340-3570
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180529002822 | CA | Practitioner - Clinical Social Worker | 6204191943 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76374 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Valley Health Corporation | Current |
Accepting new patients | |
| Northeast Valley Health Corporation | Current |
Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients |
Locations
7107 Remmet Ave
Canoga Park, CA 91303
Phone (818) 340-3570
7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656
1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388
1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086
23413 Lyons Ave
Valencia, CA 91355
Phone (661) 593-7500
7138 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 778-6240
Interoperability endpoints
- esmeralda.nevarez.p1@direct.nevhc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 76374 | CA | Yes |
Addresses
Primary practice location
2555 E Colorado Blvd
Pasadena, CA 91107-6622
Mailing address
2555 E Colorado Blvd Ste 100
Pasadena, CA 91107-6622
Phone (626) 577-2261
NPI Registry JSON
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1295865798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 E COLORADO BLVD STE 100",
"city": "PASADENA",
"state": "CA",
"postal_code": "911076622",
"telephone_number": "626-577-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911076622",
"telephone_number": "626-577-2261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVAREZ",
"first_name": "ESMERALDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
- Neuro-Rehab Psychological Consultation & Treatment Services, Inc.
- Neurolink Diagnostics Co. LLC.
- Neurolink Idft Company LLC
- Neurolink Medical
- Neurologicinc
- John Cory Nevarez
- Lisa Marie Nevarez
- Neville W.N. Williams MD Inc
- Gillian Nevins
- New North Natal, LLC
All providers in Pasadena, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.