Active NPI
Reyna Stefany Orellana Vega
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1720426828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 87620
- Practice address
- 1000 G St Ste 125
Sacramento, CA 95814-0894 - Phone
- (888) 588-8995
- NPI assigned
- Jun 11, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 87620 | CA | Primary |
Addresses
Primary practice location
1000 G St Ste 125
Sacramento, CA 95814-0894
Mailing address
440 N Barranca Ave # 6542
Covina, CA 91723-1722
Phone (562) 972-8221
Other practice location 1
323 N Prairie Ave Ste 450
Inglewood, CA 90301-4502
Phone (310) 677-7808
Other practice location 2
12420 Venice Blvd., Suite 200
Los Angeles, CA 90066
Phone (310) 751-1200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87620 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foresight Mental Health | Clinical | Current | Accepting new patients |
Locations
1000 G St
Ste 125
Sacramento, CA 95814
Phone (510) 345-4379
Organizations & group practices 1
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": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1720426828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N BARRANCA AVE # 6542",
"city": "COVINA",
"state": "CA",
"postal_code": "917231722",
"telephone_number": "562-972-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 G ST STE 125",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958140894",
"telephone_number": "888-588-8995"
}
],
"practiceLocations": [
{
"address_1": "323 N Prairie Ave Ste 450",
"address_purpose": "LOCATION",
"city": "Inglewood",
"state": "CA",
"postal_code": "903014502",
"country_code": "US",
"telephone_number": "310-677-7808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12420 Venice Blvd., Suite 200",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90066",
"country_code": "US",
"telephone_number": "310-751-1200",
"fax_number": "310-398-0312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORELLANA VEGA",
"first_name": "REYNA",
"middle_name": "STEFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "87620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.