Active NPI
Annabel Barajas
- Clinical Social Worker
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 109958
- Practice address
- 510 E Magnolia St
Stockton, CA 95202-1131 - Phone
- (209) 938-0831
- NPI assigned
- Sep 16, 2022
- Last updated
- Nov 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port City Operating Company, LLC | Current | Accepting new patients | |
| San Joaquin Behavioral Health Services | Clinical | Current | Accepting new patients |
| Port City Operating Company, LLC | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| San Joaquin County Behavioral Health Services | Current | 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.
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
dba San Joaquin County Behavioral Health Services
- Community/Behavioral Health Agency
- Stockton, CA
- NPI 1215028931
Clinical
-
dba San Joaquin County Clinic Manteca
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
dba St. Joseph's Behavioral Health Center
- Psychiatric Hospital
- Stockton, CA
- NPI 1053443473
-
- Home Health Agency
- Stockton, CA
- NPI 1306978945
-
dba SJC-MHS Crisis Intervention Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stockton, CA
- NPI 1447467725
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.