Individual provider Active NPI

Linh My Phung-Tamashiro, LCSW

  • Clinical Social Worker
  • Cudahy, CA
National Provider Identifier
1508014804
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS23138 Issued in CA
Practice address
7326 Wilcox Ave
Cudahy, CA 90201-4309
Phone
(323) 533-6181
Fax
(323) 869-1353
NPI assigned
Aug 29, 2008
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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 LCS23138 CA Primary

Addresses

Primary practice location

7326 Wilcox Ave
Cudahy, CA 90201-4309

Mailing address

PO Box 121
Artesia, CA 90702-0121
Phone (323) 533-6181

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
LCS23138CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1508014804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907020121",
            "telephone_number": "323-533-6181",
            "fax_number": "323-754-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 WILCOX AVE",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902014309",
            "telephone_number": "323-533-6181",
            "fax_number": "323-869-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG-TAMASHIRO",
        "first_name": "LINH",
        "middle_name": "MY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cudahy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.