Individual provider Active NPI

Fabiola Jasmine Quijano Bellinger, LCSW, MSW, CADC II

  • Clinical Social Worker
  • Camp Pendleton, CA
National Provider Identifier
1710399639
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW136313 Issued in CA
Practice address
Building 16105 11TH Street
Camp Pendleton, CA 92055
Phone
(760) 725-5946
NPI assigned
May 27, 2014
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X AII057100518 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X LCSW136313 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

Building 16105 11TH Street
Camp Pendleton, CA 92055

Mailing address

1100 Sportfisher Dr
Oceanside, CA 92054-2550
Phone (760) 439-6702

Other names 1

  • Ms. Fabiola Jasmine Quijano Former name

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AII057100518CAMDAddiction (Substance Use Disorder) Counselor
LCSW136313CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1710399639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SPORTFISHER DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542550",
            "telephone_number": "760-439-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 16105 11TH STREET",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLINGER",
        "first_name": "FABIOLA",
        "middle_name": "JASMINE QUIJANO",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MSW, CADC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "AII057100518",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW136313",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FABIOLA",
            "last_name": "QUIJANO",
            "middle_name": "JASMINE",
            "prefix": "MS.",
            "credential": "LCSW, MSW, CADC II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camp Pendleton, CA

Sources for this page

Verify at the official NPI Registry.