Active NPI
Brenda Escobedo Galvan
- Clinical Social Worker
- Lynwood, CA
National Provider Identifier
1629450820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3680 E Imperial Hwy Ste 220
Lynwood, CA 90262 - Phone
- (323) 769-7133
- NPI assigned
- Jun 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
3680 E Imperial Hwy Ste 220
Lynwood, CA 90262
Mailing address
3680 E Imperial Hwy Ste 220
Lynwood, CA 90262-2663
Other practice location 1
4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone (323) 233-0425
Other practice location 2
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone (213) 241-3841
Other practice location 3
1393 Bailey St
Hanford, CA 93230-5922
Phone (559) 582-3499 ext. 2062
Other practice location 4
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone (213) 241-3841
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629450820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3680 E IMPERIAL HWY STE 220",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3680 E IMPERIAL HWY STE 220",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "90262",
"telephone_number": "323-769-7133"
}
],
"practiceLocations": [
{
"address_1": "4211 Avalon Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900115622",
"country_code": "US",
"telephone_number": "323-233-0425",
"fax_number": "323-232-2366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 S Beaudry Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900171466",
"country_code": "US",
"telephone_number": "213-241-3841",
"fax_number": "213-241-3305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1393 Bailey St",
"address_purpose": "LOCATION",
"city": "Hanford",
"state": "CA",
"postal_code": "932305922",
"country_code": "US",
"telephone_number": "559-582-3499 x2062",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 S Beaudry Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900171466",
"country_code": "US",
"telephone_number": "213-241-3841",
"fax_number": "213-241-3305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALVAN",
"first_name": "BRENDA",
"middle_name": "ESCOBEDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-24",
"last_updated": "2022-07-21",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.