Active NPI
Abraham Preciado, ASW
- Clinical Social Worker
- El Monte, CA
National Provider Identifier
1528622206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110968
- Practice address
- 3208 Rosemead Blvd Ste 200
El Monte, CA 91731-2830 - Phone
- (626) 227-7014
- NPI assigned
- Apr 27, 2019
- Last updated
- Oct 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 85945 | CA | |
| Clinical Social Worker | 1041C0700X | 110968 | CA | Primary |
Addresses
Primary practice location
3208 Rosemead Blvd Ste 200
El Monte, CA 91731-2830
Mailing address
3208 Rosemead Blvd Ste 200
El Monte, CA 91731-2830
Phone (626) 227-7014
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1436 Goodrich Blvd
Commerce, CA 90022-5111
Phone (323) 725-1337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85945 | CA | MD | Mental Health Counselor |
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.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1932230638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1528622206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 ROSEMEAD BLVD STE 200",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917312830",
"telephone_number": "626-227-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3208 ROSEMEAD BLVD STE 200",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917312830",
"telephone_number": "626-227-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRECIADO",
"first_name": "ABRAHAM",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-27",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "85945",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "110968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.