Individual provider Active NPI

Perla Gonzalez, LCSW

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1366818676
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
93133 Issued in CA
Practice address
2400 Wible Rd Ste 14
Bakersfield, CA 93304-4734
Phone
(661) 835-1240
Fax
(661) 835-4667
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 93133 CA Primary

Addresses

Primary practice location

2400 Wible Rd Ste 14
Bakersfield, CA 93304-4734

Mailing address

2400 Wible Rd Ste 14
Bakersfield, CA 93304-4734
Phone (661) 835-1240

Other names 1

  • Perla Parra Former name

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
I20200110001614 CA Practitioner - Clinical Social Worker 8820423361 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93133CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Dec 3, 2019 Accepting new patients
Clinica Sierra Vista Current Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

2400 Wible Rd
Ste 14
Bakersfield, CA 93304
Phone (661) 725-4780

3105 Wilson Rd
Bakersfield, CA 93304
Phone (661) 379-8775

7839 Burgundy Ave
Lamont, CA 93241
Phone (661) 845-5100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1366818676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WIBLE RD STE 14",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933044734",
            "telephone_number": "661-835-1240",
            "fax_number": "661-835-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WIBLE RD STE 14",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933044734",
            "telephone_number": "661-835-1240",
            "fax_number": "661-835-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PERLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2023-11-15",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERLA",
            "last_name": "PARRA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.