Individual provider Active NPI

Juan Jose Sanchez, LCSW

  • Clinical Social Worker
  • Visalia, CA
National Provider Identifier
1417577016
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
94996 Issued in CA
Practice address
2908 W Main St
Visalia, CA 93291-5731
Phone
(559) 869-8213
NPI assigned
Apr 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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 94996 CA Primary

Addresses

Primary practice location

2908 W Main St
Visalia, CA 93291-5731

Mailing address

PO Box 1274
Tulare, CA 93275-1274
Phone (559) 869-8213

Other practice location 1

6520 S Mooney Blvd
Visalia, CA 93277
Phone (559) 623-0398

Other practice location 2

520 E Tulare Ave
Visalia, CA 93292-3629
Phone (559) 623-0398

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
I20240212004003 CA Practitioner - Clinical Social Worker 9537502026 Reassigns benefits to 1 organization
Practice locations: Visalia, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2908 W Main St
Visalia, CA 93291-5731
Phone (559) 869-8213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Jul 11, 2025 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Jul 11, 2025 Accepting new patients

Locations

31180 Road 72
Visalia, CA 93291
Phone (559) 651-2301

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

Organizations & group practices 7

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1417577016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1274",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932751274",
            "telephone_number": "559-869-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915731",
            "telephone_number": "559-869-8213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6520 S Mooney Blvd",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "93277",
            "country_code": "US",
            "telephone_number": "559-623-0398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 E Tulare Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932923629",
            "country_code": "US",
            "telephone_number": "559-623-0398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JUAN",
        "middle_name": "JOSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "94996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.