Active NPI
Andrew Peter Semedo, A.S.W
- Clinical Social Worker
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 117716
- Practice address
- 845 E Arrow Hwy
Pomona, CA 91767-2535 - Phone
- (909) 624-1233
- NPI assigned
- Jan 29, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 117716 | CA | Primary |
Addresses
Primary practice location
845 E Arrow Hwy
Pomona, CA 91767-2535
Mailing address
845 E Arrow Hwy
Pomona, CA 91767-2535
Phone (909) 624-1233
Other practice location 1
423 MacKay Dr
San Bernardino, CA 92408-3230
Phone (909) 383-1073
Other practice location 2
9916 Central Ave
Montclair, CA 91763-3201
Phone (909) 450-2502
Other practice location 3
9916 Central Ave
Montclair, CA 91763-3201
Phone (909) 450-2502
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 W Arrow Hwy
San Dimas, CA 91773-2340
Phone (909) 394-2526
1502 W W Covina Pkwy
West Covina, CA 91790-2703
Phone (626) 960-4845
1511 W Garvey Ave N
West Covina, CA 91790-2138
Phone (626) 856-4820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Telecare Corporation | Past | Accepting new patients |
Locations
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
Organizations & group practices 3
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.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
dba CORE San Bernardino
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1609101344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1326370453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 E ARROW HWY",
"city": "POMONA",
"state": "CA",
"postal_code": "917672535",
"telephone_number": "909-624-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 E ARROW HWY",
"city": "POMONA",
"state": "CA",
"postal_code": "917672535",
"telephone_number": "909-624-1233"
}
],
"practiceLocations": [
{
"address_1": "423 MacKay Dr",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924083230",
"country_code": "US",
"telephone_number": "909-383-1073",
"fax_number": "909-383-1456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9916 Central Ave",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "CA",
"postal_code": "917633201",
"country_code": "US",
"telephone_number": "909-450-2502",
"fax_number": "909-450-2637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9916 Central Ave",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "CA",
"postal_code": "917633201",
"country_code": "US",
"telephone_number": "909-450-2502",
"fax_number": "909-450-2607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEMEDO",
"first_name": "ANDREW",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "A.S.W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-29",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "117716",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9916 Central Ave",
"city": "Montclair",
"state": "CA",
"country_code": "US",
"postal_code": "917633201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.