Individual provider Active NPI

Jose Luis Juarez

  • Clinical Social Worker
  • Baldwin Park, CA
National Provider Identifier
1497235683
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
81417 Issued in CA
Practice address
14636 Via El Camino
Baldwin Park, CA 91706-2758
Phone
(626) 393-9012
NPI assigned
Aug 16, 2018
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 81417 CA Primary

Addresses

Primary practice location

14636 Via El Camino
Baldwin Park, CA 91706-2758

Mailing address

14636 Via El Camino
Baldwin Park, CA 91706-2758
Phone (626) 393-9012

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224001854 CA Practitioner - Clinical Social Worker 2466933833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chris E Esguerra MD PCGroup PAC ID 8426456021, 10 clinicians

Practice addresses (Care Compare)

5750 Traffic Way
Suite a
Atascadero, CA 93422-7205
Phone (855) 378-3361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81417CAMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chris E Esguerra MD PC CurrentSince Dec 12, 2025 Accepting new patients

Locations

5750 Traffic Way
Ste A
Atascadero, CA 93422
Phone (650) 678-5243

Interoperability endpoints

  • Direct secure messaging: joseljuarez@ontariochc.officeally.direct

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1497235683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14636 VIA EL CAMINO",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062758",
            "telephone_number": "626-393-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14636 VIA EL CAMINO",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062758",
            "telephone_number": "626-393-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

Verify at the official NPI Registry.