Individual provider Active NPI

Annabel Barajas

  • Clinical Social Worker
  • Stockton, CA
National Provider Identifier
1396467155
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109958 Issued in CA
Practice address
510 E Magnolia St
Stockton, CA 95202-1131
Phone
(209) 938-0831
NPI assigned
Sep 16, 2022
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 109958 CA Primary

Addresses

Primary practice location

510 E Magnolia St
Stockton, CA 95202-1131

Mailing address

PO Box 31046
Stockton, CA 95213-1046
Phone (562) 522-2345

Other practice location 1

5838 Edison Pl
Carlsbad, CA 92008-5520
Phone (562) 522-2345

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
I20230131001199 CA Practitioner - Clinical Social Worker 2163893157 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Port City Operating Company, LLC CurrentSince Oct 31, 2022 Accepting new patients
San Joaquin Behavioral Health Services Clinical Current Accepting new patients
Port City Operating Company, LLC CurrentSince Oct 31, 2022 Accepting new patients
County of San Joaquin CurrentSince Mar 9, 2025 Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Mar 9, 2025 Accepting new patients
Port City Operating Company, LLC Current Accepting new patients

Locations

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

1617 N California St
Ste 2G
Stockton, CA 95204
Phone (209) 461-5268

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

510 E Magnolia St
Ste 100
Stockton, CA 95202
Phone (209) 461-2054

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1396467155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31046",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952131046",
            "telephone_number": "562-522-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E MAGNOLIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021131",
            "telephone_number": "209-938-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5838 Edison Pl",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920085520",
            "country_code": "US",
            "telephone_number": "562-522-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAJAS",
        "first_name": "ANNABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.