Individual provider Active NPI

Peter M. Baratta, L.C.S.W.

  • Clinical Social Worker
  • La Mesa, CA
National Provider Identifier
1619145232
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS11506 Issued in CA
Practice address
7777 Alvarado Rd
Suite 265
La Mesa, CA 91942-8216
Phone
(619) 464-0411
Fax
(619) 464-1696
NPI assigned
Feb 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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 LCS11506 CA Primary

Addresses

Primary practice location

7777 Alvarado Rd
Suite 265
La Mesa, CA 91942-8216

Mailing address

7777 Alvarado Rd
Suite 265
La Mesa, CA 91942-8216
Phone (619) 464-0411

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
LCS11506CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1619145232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 ALVARADO RD",
            "address_2": "SUITE 265",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428216",
            "telephone_number": "619-464-0411",
            "fax_number": "619-464-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 ALVARADO RD",
            "address_2": "SUITE 265",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428216",
            "telephone_number": "619-464-0411",
            "fax_number": "619-464-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARATTA",
        "first_name": "PETER",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-16",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.