Individual provider Active NPI

Rondii Raye Colson

  • Clinical Social Worker
  • San Pedro, CA
National Provider Identifier
1326600073
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149633 Issued in CA
Practice address
205 W 9TH St
San Pedro, CA 90731-3711
Phone
(916) 952-8566
NPI assigned
Jul 2, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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 149633 CA Primary

Addresses

Primary practice location

205 W 9TH St
San Pedro, CA 90731-3711

Mailing address

279 Temple Ave Apt 16
Long Beach, CA 90803-5410
Phone (916) 952-8566

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

State licenses

LicenseStateTypeSpecialty
149633CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1326600073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 TEMPLE AVE APT 16",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035410",
            "telephone_number": "916-952-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313711",
            "telephone_number": "916-952-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLSON",
        "first_name": "RONDII",
        "middle_name": "RAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "149633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.