Roxana V Alas, MSW – Clinical Social Worker

Key facts

NPI: 1306223672
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 82202
Practice address: 28936 Old Town Front St Ste 102
Temecula, CA 92590-2890
Phone: (951) 235-2956
NPI assigned: May 6, 2015
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
82202	CA	MD	Marriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X
Clinical Social Worker	1041C0700X	82202		Yes

Addresses

Primary practice location

28936 Old Town Front St Ste 102
Temecula, CA 92590-2890

Mailing address

36491 Yamas Dr Apt 1003
Wildomar, CA 92595-9814
Phone (951) 235-2956

Other practice location 1

47-825 Oasis St.
Indio, CA 92201
Phone (951) 235-2956

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2019.

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1306223672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36491 YAMAS DR APT 1003",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959814",
            "telephone_number": "951-235-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28936 OLD TOWN FRONT ST STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902890",
            "telephone_number": "951-235-2956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47-825 Oasis St.",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "92201",
            "country_code": "US",
            "telephone_number": "951-235-2956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAS",
        "first_name": "ROXANA",
        "middle_name": "V",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "82202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

All providers in Temecula, 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 Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.