Individual provider Active NPI

Gabriela Tarin, LCSW

  • Clinical Social Worker
  • Cerritos, CA
National Provider Identifier
1629518261
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW26324 Issued in CA
Practice address
12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329
Phone
(562) 207-0139
Fax
(562) 741-4479
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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 LCSW26324 CA Primary

Addresses

Primary practice location

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

Mailing address

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329
Phone (562) 207-0139

Other identifiers 1

IdentifierTypeStateIssuer
LCSW26324OtherCALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731001656 CA Practitioner - Clinical Social Worker 8224575980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life Ca PCGroup PAC ID 3173989332, 34 clinicians

Practice addresses (Care Compare)

6080 Ctr Dr
FL 6
Los Angeles, CA 90045-9205
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW26324CAMDClinical Social Worker
26324CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Ca, P.C. CurrentSince Jun 1, 2024 Accepting new patients

Locations

6080 Center Dr
Fl 6
Westchester, CA 90045
Phone (669) 231-6870

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1629518261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR",
            "address_2": "SUITE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-207-0139",
            "fax_number": "562-741-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR",
            "address_2": "SUITE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-207-0139",
            "fax_number": "562-741-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARIN",
        "first_name": "GABRIELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW26324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "LCSW26324",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.