Erica Lynn Tarango Bhambi
Individual provider Active NPI Social Worker · Banning, CA
NPI 1619798311 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1619798311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 1330 W Ramsey St
Banning, CA 92220-4477 - Phone
- (760) 578-2192
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW126381 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW126381 | CA | |
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
1330 W Ramsey St
Banning, CA 92220-4477
Mailing address
43515 Roebelenii Way
Indio, CA 92201-8613
Phone (760) 610-4780
Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.