Active NPI
Jose L. Mascorro Jr., A.S.W.
- Social Worker
- San Leandro, CA
National Provider Identifier
1548607708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW 21174
- Practice address
- 1000 San Leandro Blvd
Suite 300
San Leandro, CA 94577-1598 - Phone
- (510) 725-2358
- NPI assigned
- May 29, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW 21174 | CA | Primary |
Addresses
Primary practice location
1000 San Leandro Blvd
Suite 300
San Leandro, CA 94577-1598
Mailing address
1000 San Leandro Blvd
Suite 300
San Leandro, CA 94577-1598
Phone (510) 725-2358
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 |
|---|---|---|---|
| ASW 21174 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda County Health Care Services Agency | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Supports Brokerage Agency
- San Leandro, CA
- NPI 1366623316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1548607708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SAN LEANDRO BLVD",
"address_2": "SUITE 300",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771598",
"telephone_number": "510-725-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SAN LEANDRO BLVD",
"address_2": "SUITE 300",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771598",
"telephone_number": "510-725-2358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASCORRO",
"first_name": "JOSE",
"middle_name": "L.",
"name_suffix": "Jr.",
"credential": "A.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-29",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW 21174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.