Individual provider Active NPI

Suzuki Rodriguez Ventura

  • Clinical Social Worker
  • Hemet, CA
National Provider Identifier
1497340210
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119632 Issued in CA
Practice address
1030 E Florida Ave
Hemet, CA 92543-4511
Phone
(833) 867-4642
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 119632 CA Primary

Addresses

Primary practice location

1030 E Florida Ave
Hemet, CA 92543-4511

Mailing address

1030 E Florida Ave
Hemet, CA 92543-4511
Phone (833) 867-4642

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
I20240626003100 CA Practitioner - Clinical Social Worker 2567906977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119632CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Jun 1, 2024 Accepting new patients
Neighborhood Healthcare CurrentSince Jun 1, 2024 Accepting new patients
Neighborhood Healthcare Past Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 2021 Accepting new patients

Locations

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

425 N Date St
#0
Escondido, CA 92025

1030 E Florida Ave
Hemet, CA 92543
Phone (951) 216-6100

4371 Latham St
Ste 200
Riverside, CA 92501

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Organizations & group practices 4

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1497340210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434511",
            "telephone_number": "833-867-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434511",
            "telephone_number": "833-867-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ VENTURA",
        "first_name": "SUZUKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.