Individual provider Active NPI

Esmeralda Alcala Okendo

  • Clinical Social Worker
  • Antioch, CA
National Provider Identifier
1588278170
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
92787 Issued in CA
Practice address
4413 Palisades Way
Antioch, CA 94531-8228
Phone
(925) 808-9453
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 92787 CA Primary

Addresses

Primary practice location

4413 Palisades Way
Antioch, CA 94531-8228

Mailing address

4413 Palisades Way
Antioch, CA 94531-8228
Phone (925) 808-9453

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106000380 CA Practitioner - Clinical Social Worker 6709296502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cyti Health PCGroup PAC ID 4587012950, 34 clinicians

Practice addresses (Care Compare)

11801 Pierce St
Riverside, CA 92505-4408
Phone (866) 478-3978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92787CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cyti Health PC CurrentSince Jan 1, 2024 Accepting new patients
Northbay Healthcare Group CurrentSince Oct 1, 2020 Accepting new patients
Northbay Healthcare Group CurrentSince Oct 1, 2020 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

4500 Business Center Dr
Fairfield, CA 94534
Phone (707) 646-4777

2458 Hilborn Rd
Fairfield, CA 94534
Phone (707) 646-4400

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

Interoperability endpoints

  • Direct secure messaging: esmeraldaokendo@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1588278170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 PALISADES WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318228",
            "telephone_number": "925-808-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 PALISADES WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318228",
            "telephone_number": "925-808-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKENDO",
        "first_name": "ESMERALDA",
        "middle_name": "ALCALA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.