Active NPI
Isaura Cordova
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1467860239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62935
- Practice address
- 1721 Griffin Avenue
Los Angeles, CA 90031-1630 - Phone
- (323) 221-4134
- Fax
- (323) 221-3231
- NPI assigned
- Jul 24, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 62935 | CA | Primary |
Addresses
Primary practice location
1721 Griffin Avenue
Los Angeles, CA 90031-1630
Mailing address
1721 Griffin Ave
Los Angeles, CA 90031-3312
Phone (323) 221-4134
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1467860239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 GRIFFIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900313312",
"telephone_number": "323-221-4134",
"fax_number": "323-221-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 GRIFFIN AVENUE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900311630",
"telephone_number": "323-221-4134",
"fax_number": "323-221-3231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "ISAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "62935",
"primary": true
}
],
"identifiers": [],
"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 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.