Active NPI
Sergio Olvera
- Social Worker
- Santa Fe Springs, CA
National Provider Identifier
1376274308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW131736
- Practice address
- 11721 Telegraph Rd Ste a
Santa Fe Springs, CA 90670-6835 - Phone
- (424) 401-8101
- NPI assigned
- Jun 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | ||
| Rehabilitation Practitioner | 225400000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Social Worker | 104100000X | ASW131736 | CA | Primary |
Addresses
Primary practice location
11721 Telegraph Rd Ste a
Santa Fe Springs, CA 90670-6835
Mailing address
11721 Telegraph Rd Ste a
Santa Fe Springs, CA 90670-6835
Phone (877) 722-2737
Other practice location 1
21707 Hawthorne Blvd Ste 300
Torrance, CA 90503-7016
Phone (424) 401-8101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW131736 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1376274308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11721 TELEGRAPH RD STE A",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906706835",
"telephone_number": "877-722-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11721 TELEGRAPH RD STE A",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906706835",
"telephone_number": "424-401-8101"
}
],
"practiceLocations": [
{
"address_1": "21707 Hawthorne Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905037016",
"country_code": "US",
"telephone_number": "424-401-8101",
"fax_number": "855-568-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLVERA",
"first_name": "SERGIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-21",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW131736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.