Active NPI
Esmeralda Peralta
- Clinical Social Worker
- Hawaiian Gardens, CA
National Provider Identifier
1427415413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 79613
- Practice address
- 21520 Pioneer Blvd Ste 110
Hawaiian Gardens, CA 90716-2604 - Phone
- (562) 865-3644
- Fax
- (562) 246-5702
- NPI assigned
- Jan 21, 2016
- 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 | 79613 | CA | Primary |
Addresses
Primary practice location
21520 Pioneer Blvd Ste 110
Hawaiian Gardens, CA 90716-2604
Mailing address
21520 Pioneer Blvd Ste 110
Hawaiian Gardens, CA 90716-2604
Phone (562) 865-3644
Other practice location 1
711 E Ball Rd Ste 201
Anaheim, CA 92805-5925
Phone (714) 254-8473 ext. 117
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 |
|---|---|---|---|
| 79613 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1427415413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21520 PIONEER BLVD STE 110",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "907162604",
"telephone_number": "562-865-3644",
"fax_number": "562-246-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21520 PIONEER BLVD STE 110",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "907162604",
"telephone_number": "562-865-3644",
"fax_number": "562-246-5702"
}
],
"practiceLocations": [
{
"address_1": "711 E Ball Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928055925",
"country_code": "US",
"telephone_number": "714-254-8473 x117",
"fax_number": "714-254-8480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERALTA",
"first_name": "ESMERALDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "79613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawaiian Gardens, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.