Individual provider Active NPI

Mandy Aleshinloye

  • Clinical Social Worker
  • Loma Linda, CA
National Provider Identifier
1306245683
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61305 Issued in CA
Practice address
11293 Vollmer Dr
Loma Linda, CA 92354-4874
Phone
(951) 532-2381
NPI assigned
Aug 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 61305 CA Primary

Addresses

Primary practice location

11293 Vollmer Dr
Loma Linda, CA 92354-4874

Mailing address

11293 Vollmer Dr
Loma Linda, CA 92354-4874
Phone (951) 532-2381

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515000253 CA Practitioner - Clinical Social Worker 9537500087 Reassigns benefits to 1 organization
Practice locations: Redlands, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61305CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Therapeutic Services CurrentSince Apr 12, 2024 Accepting new patients
Sud Specialty Group - Ca Clinical CurrentSince Aug 1, 2025 Accepting new patients

Locations

1255 W Colton Ave
Redlands, CA 92374
Phone (661) 390-6874

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1306245683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11293 VOLLMER DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544874",
            "telephone_number": "951-532-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11293 VOLLMER DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544874",
            "telephone_number": "951-532-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESHINLOYE",
        "first_name": "MANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "61305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.