Individual provider Active NPI

Carlotta A Durazo

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1598192197
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS10714 Issued in CA
Practice address
500 La Terraza Blvd
Suite 130
Escondido, CA 92025-3875
Phone
(760) 737-2050
Fax
(760) 796-3785
NPI assigned
Sep 27, 2013
Last updated
Sep 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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 LCS10714 CA Primary

Addresses

Primary practice location

500 La Terraza Blvd
Suite 130
Escondido, CA 92025-3875

Mailing address

7957 Calle Cozumel
Carlsbad, CA 92009-9318
Phone (760) 310-9036

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

LicenseStateTypeSpecialty
LCS10714CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Elizabeth Hospice, Inc. PastSince Feb 17, 2017 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1598192197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7957 CALLE COZUMEL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920099318",
            "telephone_number": "760-310-9036",
            "fax_number": "760-796-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LA TERRAZA BLVD",
            "address_2": "SUITE 130",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253875",
            "telephone_number": "760-737-2050",
            "fax_number": "760-796-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAZO",
        "first_name": "CARLOTTA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS10714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.