Active NPI
Yvette Kristine Diaz de Tuesta, LCSW
- Clinical Social Worker
- Santa Clarita, CA
National Provider Identifier
1609122795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW75365
- Practice address
- 27201 Tourney Rd Ste 201
Santa Clarita, CA 91355-1804 - Phone
- (661) 899-5440
- NPI assigned
- Jul 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | LCSW75365 | CA | Primary |
Addresses
Primary practice location
27201 Tourney Rd Ste 201
Santa Clarita, CA 91355-1804
Mailing address
18505 Mayall St Unit E
Northridge, CA 91324-1421
Phone (818) 900-4186
Other practice location 1
28494 Westinghouse Pl Ste 308
Santa Clarita, CA 91355-0935
Phone (818) 900-4186
Other practice location 2
18505 Mayall St Unit E
Northridge, CA 91324-1421
Phone (818) 900-4186
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170302001033 | CA | Practitioner - Clinical Social Worker | 3375827744 | Practice locations: Santa Clarita, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW75365 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Pasadena, CA
- NPI 1992463020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1609122795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18505 MAYALL ST UNIT E",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913241421",
"telephone_number": "818-900-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27201 TOURNEY RD STE 201",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913551804",
"telephone_number": "661-899-5440"
}
],
"practiceLocations": [
{
"address_1": "28494 Westinghouse Pl Ste 308",
"address_purpose": "LOCATION",
"city": "Santa Clarita",
"state": "CA",
"postal_code": "913550935",
"country_code": "US",
"telephone_number": "818-900-4186",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18505 Mayall St Unit E",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913241421",
"country_code": "US",
"telephone_number": "818-900-4186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ DE TUESTA",
"first_name": "YVETTE",
"middle_name": "KRISTINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-26",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW75365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.