Active NPI
Gabriela De Jesus
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1588430466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 117257
- Practice address
- 808 W 58TH St
Los Angeles, CA 90037-3632 - Phone
- (323) 541-1600
- NPI assigned
- Nov 30, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 117257 | CA | Primary |
Addresses
Primary practice location
808 W 58TH St
Los Angeles, CA 90037-3632
Mailing address
160 1/4 W Martin Luther King Jr Blvd
Los Angeles, CA 90037-1058
Phone (323) 571-0422
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 |
|---|---|---|---|
| 117257 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1588430466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 1/4 W MARTIN LUTHER KING JR BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900371058",
"telephone_number": "323-571-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 W 58TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373632",
"telephone_number": "323-541-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "GABRIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-30",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "117257",
"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 Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.