Active NPI
Tetrawave
- Clinical Social Worker
- North Hills, CA
National Provider Identifier
1629892849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TETRAWAVE
- Practice address
- 10031 Haskell Ave
North Hills, CA 91343-1505 - Phone
- (562) 208-7216
- NPI assigned
- Nov 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christian Castaneda, LCSW
- Title
- Coo
- Phone
- (562) 207-7216
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
10031 Haskell Ave
North Hills, CA 91343-1505
Mailing address
30 N Gould St # 44162
Sheridan, WY 82801-6317
Phone (562) 208-7216
Other names 1
- AngelAI
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- North Hills, CA
- NPI 1801120407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1629892849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N GOULD ST # 44162",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828016317",
"telephone_number": "562-208-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10031 HASKELL AVE",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913431505",
"telephone_number": "562-208-7216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TETRAWAVE",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "CASTANEDA",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "562-207-7216",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AngelAI",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.