Active NPI
Alyssa Jacqueline Imperial
- Social Worker
- Pasadena, CA
National Provider Identifier
1700360815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW92300
- Practice address
- 867 N Fair Oaks Ave
Pasadena, CA 91103-3050 - Phone
- (626) 993-3100
- NPI assigned
- Sep 24, 2018
- Last updated
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW92300 | CA | Primary |
Addresses
Primary practice location
867 N Fair Oaks Ave
Pasadena, CA 91103-3050
Mailing address
PO Box 1043
Glendora, CA 91740-1043
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW92300 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1700360815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1043",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917401043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033050",
"telephone_number": "626-993-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMPERIAL",
"first_name": "ALYSSA",
"middle_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-24",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW92300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
- Imperial Health Holdings, a Professional Medical Corporation (Imperial Health Holdings Medical Group)
- Imperial Health Plan of California, Inc
- Imperial Healthcare Services
- Imperial Hospice Care Inc
- Imperial Insurance Companies, Inc.
- Impetus Home Health Care
- Imran Aziz Khan Inc
- Susan Geraldine Inaba, OT
- Inbalance Acupuncture PT, Inc
- Holly Stabler Incoll, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.