Yvette Yannelly Quevedo I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95654 Issued in CA

Practice address

9119 Haskell Ave
North Hills, CA 91343-3121

Phone

(818) 763-8836

NPI assigned

Jun 24, 2016

Last updated

May 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Family Health and Education Inc

  • Federally Qualified Health Center (FQHC)
  • Panorama City, CA
  • NPI 1871853481
  Medicare reassignment NPD
• Center for Family Health and Education Inc

  dba Priority Care Medical Group-Long Beach 1

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1154803674
  NPD
• Center for Family Health and Education Inc

  dba Priority Care Medical Group

  • Federally Qualified Health Center (FQHC)
  • Mission Hills, CA
  • NPI 1689199648
  NPD
• Center for Family Health and Education Inc

  dba Priority Care Medical Group-Panorama City

  • Federally Qualified Health Center (FQHC)
  • Panorama City, CA
  • NPI 1376010579
  NPD (past)
• El Centro de Amistad, Inc

  dba El Centro De Amistad- San Fernando

  • Community/Behavioral Health Agency
  • San Fernando, CA
  • NPI 1184740623
  NPD (past)

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1336590900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13549 RELIANCE ST",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 HASKELL AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433121",
            "telephone_number": "818-763-8836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "566 S Brand Blvd",
            "address_purpose": "LOCATION",
            "city": "San Fernando",
            "state": "CA",
            "postal_code": "913404002",
            "country_code": "US",
            "telephone_number": "818-898-0223 x120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8727 Van Nuys Blvd",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914022451",
            "country_code": "US",
            "telephone_number": "818-899-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEVEDO",
        "first_name": "YVETTE",
        "middle_name": "YANNELLY",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Heart Congregate Living Facility, Inc.
• Pure Quality Medical Supply Inc (avag karakhanyan)
• Christina Quach, PH.D.
• Melissa Quade, MFTI
• Martha Quevedo-Ruiz
• Luis Fernando Quintanilla
• Rainbow Horizons
• Sayra Ramirez Munoz
• Gloria Stephanie Ramirez
• Leondra Danette Ramirez

• Clinical Social Worker in North Hills, CA
• Providers in North Hills, 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 May 5, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.