Active NPI
Monica Cristina Gallegos, LCSW
- Clinical Social Worker
- Tustin, CA
National Provider Identifier
1407365992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 98616
- Practice address
- 17291 Irvine Blvd Ste 263
Tustin, CA 92780-2930 - Phone
- (714) 584-0478
- NPI assigned
- Sep 27, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 198799 | CA | |
| Clinical Social Worker | 1041C0700X | 98616 | CA | Primary |
Addresses
Primary practice location
17291 Irvine Blvd Ste 263
Tustin, CA 92780-2930
Mailing address
PO Box 5066
Hacienda Heights, CA 91745-0066
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 |
|---|---|---|---|
| 198799 | CA | MD | Clinical Social Worker |
| 98616 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734134400000",
"number": "1407365992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5066",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917450066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17291 IRVINE BLVD STE 263",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802930",
"telephone_number": "714-584-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "MONICA",
"middle_name": "CRISTINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-27",
"last_updated": "2024-12-14",
"certification_date": "2024-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "198799",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "98616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.