Individual provider Active NPI

Erika F Mastrobuono

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1629359153
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
86538 Issued in CA
Practice address
1520 N Raymond Ave BLDG 2-7
Pasadena, CA 91103-1819
Phone
(626) 396-5920
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 86538 CA Primary

Addresses

Primary practice location

1520 N Raymond Ave BLDG 2-7
Pasadena, CA 91103-1819

Mailing address

1520 N Raymond Ave BLDG 2-7
Pasadena, CA 91103-1819
Phone (626) 396-5920

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Unified School District CurrentSince Mar 4, 2021 Accepting new patients

Locations

2046 Allen Ave
Altadena, CA 91001
Phone (626) 396-5920

1520 N Raymond Ave
Bldg 27
Pasadena, CA 91103
Phone (626) 396-5920

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.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1629359153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N RAYMOND AVE BLDG 2-7",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031819",
            "telephone_number": "626-396-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N RAYMOND AVE BLDG 2-7",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031819",
            "telephone_number": "626-396-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROBUONO",
        "first_name": "ERIKA",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.