Individual provider Active NPI

Cynthia Ibeth Wbaldo

  • Social Worker
  • Los Angeles, CA
National Provider Identifier
1336562719
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ACSW114303 Issued in CA
Practice address
1625 W Olympic Blvd Ste 600
Los Angeles, CA 90015-3865
Phone
(323) 999-2404
NPI assigned
Jan 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X ACSW114303 CA Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

1625 W Olympic Blvd Ste 600
Los Angeles, CA 90015-3865

Mailing address

1625 W Olympic Blvd Ste 600
Los Angeles, CA 90015-3865
Phone (323) 999-2404

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
ACSW114303CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Star View Behavioral Health, Inc. Case Manager/Care Coordinator CurrentSince Jun 8, 2025 Accepting new patients

Locations

1180 W Mahalo Pl
Unit B
Compton, CA 90220
Phone (310) 868-5331

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1336562719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W OLYMPIC BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153865",
            "telephone_number": "323-999-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W OLYMPIC BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153865",
            "telephone_number": "323-999-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WBALDO",
        "first_name": "CYNTHIA",
        "middle_name": "IBETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ACSW114303",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.