Active NPI
Sergio Esteban Campos Juarez
- Social Worker
- Ventura, CA
National Provider Identifier
1730630583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 123805
- Practice address
- 5740 Ralston St Ste 201
Ventura, CA 93003-6571 - Phone
- (805) 276-7578
- NPI assigned
- Oct 17, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 123805 | CA | Primary |
Addresses
Primary practice location
5740 Ralston St Ste 201
Ventura, CA 93003-6571
Mailing address
1624 Nidia Way
Oxnard, CA 93030-5081
Phone (805) 509-6117
Other practice location 1
751 E Daily Dr Ste 320
Camarillo, CA 93010-0772
Phone (805) 443-1256
Other practice location 2
725 E Main St Fl 3
Santa Paula, CA 93060-2748
Phone (805) 933-8440
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1730630583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 NIDIA WAY",
"city": "OXNARD",
"state": "CA",
"postal_code": "930305081",
"telephone_number": "805-509-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 RALSTON ST STE 201",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036571",
"telephone_number": "805-276-7578"
}
],
"practiceLocations": [
{
"address_1": "751 E Daily Dr Ste 320",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930100772",
"country_code": "US",
"telephone_number": "805-443-1256",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 E Main St Fl 3",
"address_purpose": "LOCATION",
"city": "Santa Paula",
"state": "CA",
"postal_code": "930602748",
"country_code": "US",
"telephone_number": "805-933-8440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUAREZ",
"first_name": "SERGIO ESTEBAN",
"middle_name": "CAMPOS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-17",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "123805",
"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 Jul 22, 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.