Active NPI
Mirian Saldivar
- Clinical Social Worker
- Long Beach, CA
National Provider Identifier
1417670738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 138336
- Practice address
- 2600 Redondo Ave
Long Beach, CA 90806-2325 - Phone
- (562) 256-2900
- NPI assigned
- Sep 21, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 138336 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 138336 | CA | |
| Rehabilitation Practitioner | 225400000X | 138336 | CA |
Addresses
Primary practice location
2600 Redondo Ave
Long Beach, CA 90806-2325
Mailing address
1242 S Townsend Ave
Los Angeles, CA 90023-3327
Phone (323) 899-0107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2600 Redondo Ave
FL 3
Long Beach, CA 90806-2325
510 S Vermont Ave
19TH FL
Los Angeles, CA 90020-1992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138336 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1417670738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1242 S TOWNSEND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900233327",
"telephone_number": "323-899-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 REDONDO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062325",
"telephone_number": "562-256-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALDIVAR",
"first_name": "MIRIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "138336",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "138336",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "138336",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.