Individual provider Active NPI

Teresamaria Perez Zavala

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1578819926
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88605 Issued in CA
Practice address
4470 W Sunset Blvd Ste 107
Los Angeles, CA 90027-6309
Phone
(323) 798-7413
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 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 88605 CA Primary

Addresses

Primary practice location

4470 W Sunset Blvd Ste 107
Los Angeles, CA 90027-6309

Mailing address

2037 W Bullard Ave # 133
Fresno, CA 93711-1200
Phone (559) 313-9279

Other practice location 1

949 N Parkway Dr
Fresno, CA 93728-2724
Phone (559) 500-1999

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
88605CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcure, Inc CurrentSince Sep 25, 2023 Accepting new patients

Locations

106 Pollasky Ave
Ste D
Clovis, CA 93612
Phone (559) 203-3775

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.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1578819926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 W BULLARD AVE # 133",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111200",
            "telephone_number": "559-313-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 W SUNSET BLVD STE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276309",
            "telephone_number": "323-798-7413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "949 N Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937282724",
            "country_code": "US",
            "telephone_number": "559-500-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "TERESAMARIA",
        "middle_name": "PEREZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.