Active NPI
Alexandro Valdivia
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1366195778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 96203
- Practice address
- 929 S Rowan Ave
Los Angeles, CA 90023-2413 - Phone
- (626) 487-6325
- NPI assigned
- Jan 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 92603 | CA | |
| Clinical Social Worker | 1041C0700X | 96203 | CA | Primary |
Addresses
Primary practice location
929 S Rowan Ave
Los Angeles, CA 90023-2413
Mailing address
929 S Rowan Ave
Los Angeles, CA 90023-2413
Phone (626) 487-6325
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Other | |
| CONNECT URL | N/A | Other |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220310002113 | CA | Order and Referring Only - Clinical Social Worker | 8426443318 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92603 | CA | MD | Clinical Social Worker |
| 96203 | CA | MD | Massage Therapist |
Interoperability endpoints
- alexandro.valdivia.p3@direct.parktreechc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1366195778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 S ROWAN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232413",
"telephone_number": "626-487-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 S ROWAN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232413",
"telephone_number": "626-487-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDIVIA",
"first_name": "ALEXANDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-27",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "92603",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "96203",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/A",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "929 S Rowan Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900232413",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/A",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "929 S Rowan Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900232413",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 3, 2023; 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.