Active NPI
Alezaihvia Melendez
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1437630167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 12227 Avalon Blvd
Los Angeles, CA 90061-2811 - Phone
- (213) 348-4108
- NPI assigned
- Aug 21, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
12227 Avalon Blvd
Los Angeles, CA 90061-2811
Mailing address
12227 Avalon Blvd
Los Angeles, CA 90061-2811
Phone (213) 348-4108
Other practice location 1
333 S Beaudry Ave
Los Angeles, CA 90017
Phone (310) 754-6625
Other practice location 2
340 N Madison Ave
Los Angeles, CA 90004-3504
Phone (323) 491-5422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JQC92590713D | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1437630167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12227 AVALON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900612811",
"telephone_number": "213-348-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12227 AVALON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900612811",
"telephone_number": "213-348-4108"
}
],
"practiceLocations": [
{
"address_1": "333 S Beaudry Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90017",
"country_code": "US",
"telephone_number": "310-754-6625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 N Madison Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900043504",
"country_code": "US",
"telephone_number": "323-491-5422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELENDEZ",
"first_name": "ALEZAIHVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JQC92590713D",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.