Individual provider Active NPI

Jacqueline Denise Rojas

  • Social Worker
  • Santa Ana, CA
National Provider Identifier
1417523911
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ACSW112842 Issued in CA
Practice address
13442 Malena Dr
Santa Ana, CA 92705-1912
Phone
(714) 543-5437
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ACSW112842 CA Primary

Addresses

Primary practice location

13442 Malena Dr
Santa Ana, CA 92705-1912

Mailing address

2130 E 4TH St Ste 200
Santa Ana, CA 92705-3818
Phone (714) 543-5437

Other practice location 1

2130 E 4th St Ste 200
Santa Ana, CA 92705-3818
Phone (714) 543-5437

Other practice location 2

159 N Wheeler St
Orange, CA 92869-3217
Phone (714) 543-5437

Other practice location 3

1237 S Euclid St
Anaheim, CA 92802-1955
Phone (714) 543-5437

Other practice location 4

19356 Saylor Ter
Santa Ana, CA 92705-1437
Phone (714) 543-5437

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

LicenseStateTypeSpecialty
ACSW112842CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Crest Past Accepting new patients
Olive Crest Past Accepting new patients
Olive Crest PastSince Dec 8, 2024 Accepting new patients

Organizations & group practices 3

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1417523911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 E 4TH ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053818",
            "telephone_number": "714-543-5437",
            "fax_number": "866-500-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13442 MALENA DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051912",
            "telephone_number": "714-543-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 E 4th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053818",
            "country_code": "US",
            "telephone_number": "714-543-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 N Wheeler St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928693217",
            "country_code": "US",
            "telephone_number": "714-543-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1237 S Euclid St",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928021955",
            "country_code": "US",
            "telephone_number": "714-543-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19356 Saylor Ter",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927051437",
            "country_code": "US",
            "telephone_number": "714-543-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "JACQUELINE",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ACSW112842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.