Individual provider Active NPI

Rebecca Christina Gastelum-Hernandez

  • Clinical Social Worker
  • Santa Ana, CA
National Provider Identifier
1659835296
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106646 Issued in CA
Practice address
200 W Santa Ana Blvd Ste 801
Santa Ana, CA 92701-4134
Phone
(714) 704-5900
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Youth Services CurrentSince Feb 9, 2025 Accepting new patients
Families Together of Orange County PastSince Jan 21, 2024 Accepting new patients
Families Together of Orange County Past Accepting new patients

Locations

200 W Santa Ana Blvd
Ste 801
Santa Ana, CA 92701
Phone (714) 704-5900

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 106646 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

200 W Santa Ana Blvd Ste 801
Santa Ana, CA 92701-4134

Mailing address

200 W Santa Ana Blvd Ste 801
Santa Ana, CA 92701-4134
Phone (714) 704-5900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2025.

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1659835296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SANTA ANA BLVD STE 801",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014134",
            "telephone_number": "714-704-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SANTA ANA BLVD STE 801",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014134",
            "telephone_number": "714-704-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTELUM-HERNANDEZ",
        "first_name": "REBECCA",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "106646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.