Active NPI
Monica Xitlalli Hurtado
- Social Worker
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW116051
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW116051 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Current | Accepting new patients | |
| El Centro de Amistad, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Pasadena, CA
- NPI 1992463020
-
- Community/Behavioral Health Agency
- San Fernando, CA
- NPI 1184740623
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.