Individual provider Active NPI

Anne Hausler-Tungate

  • Social Worker
  • West Covina, CA
National Provider Identifier
1457834764
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
112616 Issued in CA
Practice address
1906 W Garvey Ave S
West Covina, CA 91790-2652
Phone
(310) 714-2795
NPI assigned
Sep 12, 2018
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 112616 CA Primary
Clinical Social Worker 1041C0700X 112616 CA
Rehabilitation Practitioner 225400000X NU

Addresses

Primary practice location

1906 W Garvey Ave S
West Covina, CA 91790-2652

Mailing address

1906 W Garvey Ave S
West Covina, CA 91790-2652
Phone (310) 714-2795

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

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America of Los Angeles CurrentSince Mar 12, 2024 Accepting new patients

Locations

1906 W Garvey Ave S
West Covina, CA 91790
Phone (310) 678-6531

Organizations & group practices 1

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1457834764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 W GARVEY AVE S",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902652",
            "telephone_number": "310-714-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 W GARVEY AVE S",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902652",
            "telephone_number": "310-714-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSLER-TUNGATE",
        "first_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "112616",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112616",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.