Individual provider Active NPI

Alejandro Rodriguez Perez

  • Social Worker
  • Visalia, CA
National Provider Identifier
1649005752
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
125808 Issued in CA
Practice address
6520 S Mooney Blvd
Visalia, CA 93277-9529
Phone
(559) 713-5016
NPI assigned
Sep 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 125808 CA Primary

Addresses

Primary practice location

6520 S Mooney Blvd
Visalia, CA 93277-9529

Mailing address

6520 S Mooney Blvd
Visalia, CA 93277-9529
Phone (559) 713-5016

Other practice location 1

3500 W Mineral King Ave
Visalia, CA 93291-5635
Phone (559) 713-5016

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

State licenses

LicenseStateTypeSpecialty
125808CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tulare Health and Human Services Agency CurrentSince Sep 8, 2024 Accepting new patients

Locations

6520 S Mooney Blvd
Visalia, CA 93277
Phone (559) 623-0300

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1649005752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779529",
            "telephone_number": "559-713-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779529",
            "telephone_number": "559-713-5016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 W Mineral King Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915635",
            "country_code": "US",
            "telephone_number": "559-713-5016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ PEREZ",
        "first_name": "ALEJANDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "125808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.