Active NPI
Analis Lopez Gonzales, LMSW
- Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1468 Madison Ave FL 4
New York, NY 10029 - Phone
- (646) 899-9648
- Fax
- (212) 996-9685
- NPI assigned
- Feb 14, 2012
- Last updated
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
1468 Madison Ave FL 4
New York, NY 10029
Mailing address
1751 Cloverfield Blvd
Santa Monica, CA 90404-4007
Phone (310) 450-0650
Other practice location 1
1751 Cloverfield Blvd
Santa Monica, CA 90404-4007
Phone (310) 450-0650
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 W Noble Ave
Visalia, CA 93277-2633
Phone (559) 624-6875
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients |
Locations
301 W Noble Ave
Visalia, CA 93277
Phone (559) 624-6875
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700
Organizations & group practices 2
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.
-
dba Kaweah Health Cardiothoracic Surgery Clinic
- Multi-Specialty Clinic/Center
- Visalia, CA
- NPI 1326704529
-
dba Kaweah Health Youth Crisis Stabilization Unit
- Community/Behavioral Health Agency
- Visalia, CA
- NPI 1447016050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1366715831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 CLOVERFIELD BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904044007",
"telephone_number": "310-450-0650",
"fax_number": "310-883-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1468 MADISON AVE FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "646-899-9648",
"fax_number": "212-996-9685"
}
],
"practiceLocations": [
{
"address_1": "1751 Cloverfield Blvd",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904044007",
"country_code": "US",
"telephone_number": "310-450-0650",
"fax_number": "310-883-1221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ GONZALES",
"first_name": "ANALIS",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-14",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.