Active NPI
Zuelika Cristina Xicotencatl
- Clinical Social Worker
- San Bernardino, CA
National Provider Identifier
1467583864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 900 E Gilbert St
San Bernardino, CA 92415-1004 - Phone
- (909) 387-6942
- Fax
- (909) 386-0750
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
900 E Gilbert St
San Bernardino, CA 92415-1004
Mailing address
700 E Gilbert St
San Bernardino, CA 92415-1003
Phone (909) 387-7378
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients |
Locations
17053 Foothill Blvd
Bldg B
Fontana, CA 92335
Phone (909) 347-1300
303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801
900 E Gilbert St
Sn Bernrdno, CA 92415
Phone (909) 387-7118
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1164467023
-
- Community/Behavioral Health Agency
- Fontana, CA
- NPI 1033320940
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Apple Valley, CA
- NPI 1346950904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1467583864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E GILBERT ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924151003",
"telephone_number": "909-387-7378",
"fax_number": "909-387-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E GILBERT ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924151004",
"telephone_number": "909-387-6942",
"fax_number": "909-386-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XICOTENCATL",
"first_name": "ZUELIKA",
"middle_name": "CRISTINA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.