Individual provider Active NPI

John M. Valenzuela

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1346550985
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
70066 Issued in CA
Practice address
5925 Hollywood Blvd
Los Angeles, CA 90028-5409
Phone
(626) 922-6086
NPI assigned
Oct 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 70066 CA Primary

Addresses

Primary practice location

5925 Hollywood Blvd
Los Angeles, CA 90028-5409

Mailing address

11607 National Blvd
Los Angeles, CA 90064-3801
Phone (657) 203-3606

Other practice location 1

8300 S Vermont Ave
Los Angeles, CA 90044-3422
Phone (323) 525-6421

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208001530 CA Practitioner - Clinical Social Worker 0547564882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70066CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health CurrentSince Dec 26, 2015 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Dec 26, 2015 Accepting new patients
Los Angeles County Department of Mental Health Current Accepting new patients

Locations

5321 Via Marisol
Los Angeles, CA 90042
Phone (323) 474-6393

8300 S Vermont Ave
Los Angeles, CA 90044
Phone (323) 965-6165

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

8300 S Vermont Ave
Fl 1
Los Angeles, CA 90044
Phone (323) 525-6431

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.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1346550985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11607 NATIONAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643801",
            "telephone_number": "657-203-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285409",
            "telephone_number": "626-922-6086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900443422",
            "country_code": "US",
            "telephone_number": "323-525-6421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "JOHN",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.