Active NPI
Silvia Carolina Self
- Addiction (Substance Use Disorder) Counselor
- Palmdale, CA
National Provider Identifier
1326562448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1245300317
- Practice address
- 1025 E Avenue Q5 Apt 11
Palmdale, CA 93550-2900 - Phone
- (661) 365-9884
- NPI assigned
- Jul 31, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1245300317 | Primary |
Addresses
Primary practice location
1025 E Avenue Q5 Apt 11
Palmdale, CA 93550-2900
Mailing address
1025 E Avenue Q5 Apt 11
Palmdale, CA 93550-2900
Phone (661) 365-9884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1245300317 | Other | SUBSTANCE ABUSE COUNSELING | |
| R1245300317 | Other | CA | SUBSTANCE ABUSE COUNSELING |
Other names 1
- Miss Silvia Carolina Ruiz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients |
Interoperability endpoints
- silviaself-tarzanatc@lacsapc.netsmartdirect.net
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326562448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 E AVENUE Q5 APT 11",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935502900",
"telephone_number": "661-365-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 E AVENUE Q5 APT 11",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935502900",
"telephone_number": "661-365-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELF",
"first_name": "SILVIA",
"middle_name": "CAROLINA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "R1245300317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE ABUSE COUNSELING",
"identifier": "R1245300317",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE ABUSE COUNSELING",
"identifier": "R1245300317",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SILVIA",
"last_name": "RUIZ",
"middle_name": "CAROLINA",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.