Gustavo Beltran, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

82311 Issued in CA

Practice address

727 Shasta St
Redwood City, CA 94063-2124

Phone

(650) 454-0289

NPI assigned

May 19, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1679708689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 SHASTA ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632124",
            "telephone_number": "650-454-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SHASTA ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632124",
            "telephone_number": "650-454-0289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2513 24th St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103556",
            "country_code": "US",
            "telephone_number": "415-642-5968",
            "fax_number": "415-695-1263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELTRAN",
        "first_name": "GUSTAVO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimya Behrouzian
• Kristal Marie Belcastro, RN, MSN
• Jad Belle, MD, PHD
• Bellows & Rosen, Inc.
• Elisabeth Prosser Bellows, M.D.
• Valeria Nohely Beltran
• Karundra Ben Abraham, PHARM D
• Jessica Marie Benavides
• Rebecca Salazar Benavides, PT, CLT
• Avigail Bengigi

• Clinical Social Worker in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.