NPIMap

Individual provider Active NPI

Arturo Medrano Uribe, LCSW

  • Clinical Social Worker
  • Morgan Hill, CA
National Provider Identifier
1689862088
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22640 Issued in CA
Practice address
18217 Hale Ave
Psynergy - Morgan Hill
Morgan Hill, CA 95037-3550
Phone
(408) 465-8280
Fax
(408) 465-8281
NPI assigned
Oct 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 22640 CA
Clinical Social Worker 1041C0700X 22640 CA Primary

Addresses

Primary practice location

18217 Hale Ave
Psynergy - Morgan Hill
Morgan Hill, CA 95037-3550

Mailing address

2433 Mariner Square Loop Ste 208
Alameda, CA 94501-1060
Phone (408) 465-8280

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ91892ZOtherCACOUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
FB775AOtherCAPSYNERGY PSYNERGY PROGRAMS INC
ZZZ92069ZOtherCACOUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22640CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Behavioral Health Services Clinical Current Accepting new patients
County of Tulare CurrentSince Sep 11, 2011 Accepting new patients
County of Tulare CurrentSince Sep 11, 2011 Accepting new patients
County of Tulare Current Accepting new patients
County of San Joaquin CurrentSince Dec 21, 2024 Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Dec 21, 2024 Accepting new patients
Psynergy Programs Inc. Clinical CurrentSince Apr 5, 2011 Accepting new patients
Psynergy Programs, Inc. Clinical CurrentSince Apr 5, 2011 Accepting new patients
County of San Luis Obispo CurrentSince Nov 19, 2018 Accepting new patients
County of Santa Cruz Past Accepting new patients

Locations

2433 Mariner Square Loop
Ste 208
Alameda, CA 94501

18225 Hale Ave
Morgan Hill, CA 95037
Phone (408) 762-7022

2178 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 781-4711

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

520 E Tulare Ave
Visalia, CA 93292

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

Organizations & group practices 10

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1689862088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 MARINER SQUARE LOOP STE 208",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011060",
            "telephone_number": "408-465-8280",
            "fax_number": "408-465-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18217 HALE AVE",
            "address_2": "PSYNERGY - MORGAN HILL",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373550",
            "telephone_number": "408-465-8280",
            "fax_number": "408-465-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIBE",
        "first_name": "ARTURO",
        "middle_name": "MEDRANO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "22640",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#",
            "identifier": "ZZZ91892Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYNERGY PSYNERGY PROGRAMS INC",
            "identifier": "FB775A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#",
            "identifier": "ZZZ92069Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

Verify at the official NPI Registry.