Individual provider Active NPI

Rachel Iris Rios

  • Clinical Social Worker
  • Santa Maria, CA
National Provider Identifier
1437632973
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107275 Issued in CA
Practice address
430 S Blosser Rd
Santa Maria, CA 93458-4908
Phone
(805) 361-8900
Fax
(805) 361-8990
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 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 107275 CA Primary

Addresses

Primary practice location

430 S Blosser Rd
Santa Maria, CA 93458-4908

Mailing address

PO Box 1000
Bakersfield, CA 93302-1000

Other practice location 1

5121 Stockdale Hwy Ste 275
Bakersfield, CA 93309-2667
Phone (661) 868-5164

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
I20220413002337 CA Practitioner - Clinical Social Worker 2860888138 Reassigns benefits to 1 organization
Practice locations: Bakersfield, CA; Santa Maria, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1522 18TH St
Suite 300
Bakersfield, CA 93301-4433
Phone (805) 364-2816

201 S Miller St
Suite 107
Santa Maria, CA 93454-5248
Phone (805) 364-2816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107275CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Central Coast, Inc CurrentSince Oct 18, 2023 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Oct 18, 2023 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Lisa Jimenez Family Therapy PastSince Dec 29, 2024 Accepting new patients

Locations

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

430 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8900

2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200

325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1437632973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S BLOSSER RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584908",
            "telephone_number": "805-361-8900",
            "fax_number": "805-361-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5121 Stockdale Hwy Ste 275",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933092667",
            "country_code": "US",
            "telephone_number": "661-868-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS",
        "first_name": "RACHEL",
        "middle_name": "IRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.