Quetzalli Avilez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117731 Issued in CA

Practice address

1529 Grand Ave Ste a
San Marcos, CA 92078-2464

Phone

(760) 798-0299

Fax

(760) 798-0399

NPI assigned

Jul 16, 2018

Sex

Female

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

Practice roles

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.

• Mental Health Systems, Inc.

  • Adult Mental Health Clinic/Center
  • Oceanside, CA
  • NPI 1598847055
  NPD (past)
• Mental Health Systems, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1720745169
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1689150443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 GRAND AVE STE A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782464",
            "telephone_number": "760-798-0299",
            "fax_number": "760-798-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 GRAND AVE STE A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782464",
            "telephone_number": "760-798-0299",
            "fax_number": "760-798-0399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4283 El Cajon Blvd Ste 226",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921051289",
            "country_code": "US",
            "telephone_number": "619-771-4218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILEZ",
        "first_name": "QUETZALLI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aum Caregivers LLC
• Autism Living Experience of California LLC
• Terri Anne Averill Watson, D.C.
• Andy Avila
• David Avila, MD, MPH
• Yaquelin Avilez
• Leonardo Ayala
• Mariela Ayon
• Ali Azin
• Ashley Azin, MA, MS, LMFT

• Clinical Social Worker in San Marcos, CA
• Providers in San Marcos, 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 Sep 26, 2023; 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.