Individual provider Active NPI

Elaine Zaragoza

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1679189500
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
92596 Issued in CA
Practice address
1400 N Bristol St Ste 245B
Newport Beach, CA 92660-2965
Phone
(949) 393-8662
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 92596 CA Primary

Addresses

Primary practice location

1400 N Bristol St Ste 245B
Newport Beach, CA 92660-2965

Mailing address

27472 Portola Pkwy Ste 200
Foothill Ranch, CA 92610-2853
Phone (949) 239-7582

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@ocrelationshipcenter.com Direct Relationship and Marriage Counseling Center of OC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20230316000632 CA Practitioner - Clinical Social Worker 3779957600 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92596CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spring to Autumn Family Counseling, Inc. CurrentSince Oct 1, 2024 Accepting new patients

Locations

1275 W Park Ave
#7461
Redlands, CA 92373

2068 Orange Tree Ln
Ste 216
Redlands, CA 92374
Phone (909) 553-0448

11870 Pierce St
Ste 150
Riverside, CA 92505
Phone (909) 557-6574

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1679189500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27472 PORTOLA PKWY STE 200",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102853",
            "telephone_number": "949-239-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N BRISTOL ST STE 245B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602965",
            "telephone_number": "949-393-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARAGOZA",
        "first_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@ocrelationshipcenter.com",
            "affiliation": "Y",
            "endpointDescription": "Email address",
            "affiliationName": "Relationship and Marriage Counseling Center of OC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1400 N Bristol St Ste 245B",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926602965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.