Vanessa Marie Cervantes

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

123064 Issued in CA

Practice address

2302 Brown Road
Imperial, CA 92251

Phone

(760) 337-7900

NPI assigned

Dec 21, 2020

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Corrections and Rehabilitation-Headquarters

  dba Centinella State Prison

  • Pharmacy
  • Imperial, CA
  • NPI 1679108476
  NPD
• M Theresa C Ramones MD Inc

  • Surgery Physician
  • Brawley, CA
  • NPI 1184095440
  NPD (past)

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1316534696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1553",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922270373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 BROWN ROAD",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "92251",
            "telephone_number": "760-337-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 N 8th St",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922432302",
            "country_code": "US",
            "telephone_number": "442-265-1525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "123064",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinidad Carmen Castro
• Melissa Cenizo
• Centerpoint Medical Inc
• Arturo Velazco Cervantes, D.D.S.
• Richard Cervantes, DDS
• Melissa Chairez, LCSW
• Emiliano Chavez, CCC-SLP
• Clinicas de Salud del Pueblo Inc (Innercare Pharmacy-Imperial)
• Clinicas de Salud del Pueblo, Inc. (PACE by Innercare)
• Clinicas de Salud del Pueblo, Inc. (Innercare - Imperial)

• Clinical Social Worker in Imperial, CA
• Providers in Imperial, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.