Active NPI
Yajahira Vaca
- Clinical Social Worker
- Madera, CA
National Provider Identifier
1609661255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 129239
- Practice address
- 209 E 7TH St
Madera, CA 93638-3780 - Phone
- (559) 395-0450
- Fax
- (559) 662-5159
- NPI assigned
- Apr 14, 2025
- Last updated
- May 15, 2025
- 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 | 129239 | CA | Primary |
Addresses
Primary practice location
209 E 7TH St
Madera, CA 93638-3780
Mailing address
901 Saunders Rd
Madera, CA 93637-6213
Phone (559) 706-9575
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 |
|---|---|---|---|
| 129239 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1609661255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SAUNDERS RD",
"city": "MADERA",
"state": "CA",
"postal_code": "936376213",
"telephone_number": "559-706-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E 7TH ST",
"city": "MADERA",
"state": "CA",
"postal_code": "936383780",
"telephone_number": "559-395-0450",
"fax_number": "559-662-5159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACA",
"first_name": "YAJAHIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-14",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "129239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.