Active NPI
Brian Benjamin Janairo, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1396291894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW100873
- Practice address
- 1720 E 120TH St
Los Angeles, CA 90059-3052 - Phone
- (310) 668-4272
- NPI assigned
- Aug 25, 2016
- Last updated
- May 24, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | LCSW100873 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
1720 E 120TH St
Los Angeles, CA 90059-3052
Mailing address
1720 E 120TH St
Los Angeles, CA 90059-3052
Phone (310) 668-4272
Other practice location 1
456 Elm Ave
Long Beach, CA 90802-2426
Phone (562) 437-6717
Other practice location 2
456 Elm Ave
Long Beach, CA 90802-2426
Phone (562) 437-6717
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 |
|---|---|---|---|
| LCSW100873 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1396291894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593052",
"telephone_number": "310-668-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593052",
"telephone_number": "310-668-4272"
}
],
"practiceLocations": [
{
"address_1": "456 Elm Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908022426",
"country_code": "US",
"telephone_number": "562-437-6717",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "456 Elm Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908022426",
"country_code": "US",
"telephone_number": "562-437-6717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANAIRO",
"first_name": "BRIAN",
"middle_name": "BENJAMIN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-25",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW100873",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.