Active NPI
Ariana Cervantes
- Social Worker
- Lake Elsinore, CA
National Provider Identifier
1457909848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 89842
- Practice address
- 31772 Casino Dr Ste a
Lake Elsinore, CA 92530-4502 - Phone
- (760) 761-4300
- NPI assigned
- Aug 28, 2019
- Reactivated
- Jan 3, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 89842 | CA | |
| Social Worker | 104100000X | 89842 | CA | Primary |
Addresses
Primary practice location
31772 Casino Dr Ste a
Lake Elsinore, CA 92530-4502
Mailing address
31772 Casino Dr Ste a
Lake Elsinore, CA 92530-4502
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 |
|---|---|---|---|
| 89842 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Past | Accepting new patients | |
| Nufoundation Youth Development Mentors and Life Coach Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Litchfield Park, AZ
- NPI 1073167755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1457909848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31772 CASINO DR STE A",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31772 CASINO DR STE A",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304502",
"telephone_number": "760-761-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVANTES",
"first_name": "ARIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"deactivation_date": "2023-12-19",
"reactivation_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "89842",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "89842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.