Individual provider Active NPI

Monica Xitlalli Hurtado

  • Social Worker
  • Los Angeles, CA
National Provider Identifier
1477042323
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW116051 Issued in CA
Practice address
3250 Wilshire Blvd FL 5
Los Angeles, CA 90010-1577
Phone
(323) 361-3565
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW116051 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X CA
Mental Health Counselor 101YM0800X ASW116051 CA
Behavior Technician 106S00000X

Addresses

Primary practice location

3250 Wilshire Blvd FL 5
Los Angeles, CA 90010-1577

Mailing address

2550 E Foothill Blvd
Pasadena, CA 91107-3406
Phone (626) 744-5230

Other practice location 1

566 S Brand Blvd
San Fernando, CA 91340-4002
Phone (818) 898-0223

Other practice location 2

3207 Gold Hill Cir
Thousand Oaks, CA 91360-1208
Phone (805) 404-9589

Other practice location 3

2746 Borchard Rd
Newbury Park, CA 91320-3863
Phone (805) 404-9589

Other practice location 4

2550 E Foothill Blvd
Pasadena, CA 91107-3406
Phone (626) 744-5230

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

LicenseStateTypeSpecialty
ASW116051CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clinics CurrentSince Jul 1, 2023 Accepting new patients
El Centro de Amistad, Inc PastSince Sep 1, 2021 Accepting new patients

Locations

2550 E Foothill Blvd
Pasadena, CA 91107
Phone (626) 744-5242

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.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1477042323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 E FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073406",
            "telephone_number": "626-744-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WILSHIRE BLVD FL 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101577",
            "telephone_number": "323-361-3565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "566 S Brand Blvd",
            "address_purpose": "LOCATION",
            "city": "San Fernando",
            "state": "CA",
            "postal_code": "913404002",
            "country_code": "US",
            "telephone_number": "818-898-0223",
            "fax_number": "818-898-3303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3207 Gold Hill Cir",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913601208",
            "country_code": "US",
            "telephone_number": "805-404-9589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2746 Borchard Rd",
            "address_purpose": "LOCATION",
            "city": "Newbury Park",
            "state": "CA",
            "postal_code": "913203863",
            "country_code": "US",
            "telephone_number": "805-404-9589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073406",
            "country_code": "US",
            "telephone_number": "626-744-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "MONICA",
        "middle_name": "XITLALLI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW116051",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW116051",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 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.

Verify at the official NPI Registry.