Individual provider Active NPI

Saqib Iqbal

  • Clinical Social Worker
  • Cerritos, CA
National Provider Identifier
1376978742
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW78705 Issued in CA
Practice address
17215 Studebaker Rd Ste 110
Cerritos, CA 90703-2521
Phone
(562) 716-6726
Fax
(562) 735-3913
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW62535 CA
Clinical Social Worker 1041C0700X LCSW78705 CA Primary

Addresses

Primary practice location

17215 Studebaker Rd Ste 110
Cerritos, CA 90703-2521

Mailing address

12333 195TH St
Artesia, CA 90701-7703
Phone (562) 716-6726

Other practice location 1

3584 Martin Luther King Jr Blvd
Lynwood, CA 90262-2050
Phone (323) 242-5000

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
I20180111001506 CA Practitioner - Clinical Social Worker 6305105669 Practice locations: Cerritos, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17215 Studebaker Rd
Cerritos, CA 90703-2521
Phone (562) 270-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW62535CAMDMental Health Counselor
LCSW78705CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Cue Mental Health Clinical Current Accepting new patients

Locations

17215 Studebaker Rd
Ste 110
Cerritos, CA 90703
Phone (562) 270-4469

Organizations & group practices 1

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1376978742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12333 195TH ST",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907017703",
            "telephone_number": "562-716-6726",
            "fax_number": "562-860-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD STE 110",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032521",
            "telephone_number": "562-716-6726",
            "fax_number": "562-735-3913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3584 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902622050",
            "country_code": "US",
            "telephone_number": "323-242-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "SAQIB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW62535",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW78705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.