Active NPI
Yadira Dantzler, LCSW
- Nurse Practitioner
- Norwalk, CA
National Provider Identifier
1639596299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95038274
- Practice address
- 14807 Longworth Ave
Norwalk, CA 90650-5671 - Phone
- (323) 377-2973
- NPI assigned
- Mar 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95276151 | CA | |
| Nurse Practitioner | 363L00000X | 95038274 | CA | Primary |
| Clinical Social Worker | 1041C0700X | LCSW60829 | CA |
Addresses
Primary practice location
14807 Longworth Ave
Norwalk, CA 90650-5671
Mailing address
14807 Longworth Ave
Norwalk, CA 90650-5671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW60829 | CA | MD | Clinical Social Worker |
| 95276151 | CA | MD | Registered Nurse |
| 60829 | CA | MD | Pharmacist |
| 95038274 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1639596299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14807 LONGWORTH AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906505671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14807 LONGWORTH AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906505671",
"telephone_number": "323-377-2973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANTZLER",
"first_name": "YADIRA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95276151",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95038274",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW60829",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.