Active NPI
Awade Khan-Variba
- Clinical Social Worker
- Ventura, CA
National Provider Identifier
1710378070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW63097
- Practice address
- 5740 Ralston St
Suite 201
Ventura, CA 93003-6051 - Phone
- (805) 339-3753
- Fax
- (805) 289-1676
- NPI assigned
- Feb 9, 2015
- Last updated
- Feb 9, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW63097 | CA | Primary |
Addresses
Primary practice location
5740 Ralston St
Suite 201
Ventura, CA 93003-6051
Mailing address
23346 Gonzales Dr
Woodland Hills, CA 91367-6024
Phone (323) 702-0925
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 |
|---|---|---|---|
| ASW63097 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1710378070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23346 GONZALES DR",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676024",
"telephone_number": "323-702-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 RALSTON ST",
"address_2": "SUITE 201",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036051",
"telephone_number": "805-339-3753",
"fax_number": "805-289-1676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN-VARIBA",
"first_name": "AWADE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW63097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.