Vajezatha Zaccai Payne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS25991 Issued in CA

Practice address

38345 30TH St E
Ste E5
Palmdale, CA 93550-4984

Phone

(310) 200-6573

Fax

(623) 399-1501

NPI assigned

Apr 13, 2011

Last updated

May 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Boston University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inland Psychiatric Medical Group IncGroup PAC ID 9436062312, 119 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ephraim Behavioral Inc

  • Clinical Social Worker
  • Palmdale, CA
  • NPI 1508712837
  Medicare reassignment NPD Authorized official
• Ephraim Consulting, LLC

  • Clinical Social Worker
  • Palmdale, CA
  • NPI 1205393642
  Medicare reassignment NPD Authorized official
• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1649217761

  Clinical

  Medicare reassignment Care Compare group NPD
• Ephraim Consulting, Inc

  • Clinical Social Worker
  • Palmdale, CA
  • NPI 1326805227
  NPD Authorized official
• Getting in, Getting Through, Inc

  • Community/Behavioral Health Agency
  • Palmdale, CA
  • NPI 1699149609
  Authorized official Same address or phone
• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1336977990
  NPD

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1558651372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E PALMDALE BLVD",
            "address_2": "STE. 901588",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935906500",
            "telephone_number": "310-200-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38345 30TH ST E",
            "address_2": "STE E5",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504984",
            "telephone_number": "310-200-6573",
            "fax_number": "623-399-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "VAJEZATHA",
        "middle_name": "ZACCAI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS25991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Patterson-Dunlap
• Paul C. Benesh, Lic. Ac.
• Jessica Pavia
• Andrew Pawliwec, MD
• Isabel N Payne
• Jennifer Lynn Pearce, RDN
• Patricia Pedroza
• Pegasus Medical Group, Inc.
• Rehana Sonali-Peiris Peiris, PSYD
• Gilbert Pelayo, F.N.P

• Clinical Social Worker in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.

Verify at the official NPI Registry.