Ricardo De Dios Ponce Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW89565 Issued in CA

Practice address

1300 Saratoga Ave Unit 100
Ventura, CA 93003-6401

Phone

(805) 705-2162

NPI assigned

Aug 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1730736919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 CARLO DR",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931171744",
            "telephone_number": "805-705-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SARATOGA AVE UNIT 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036401",
            "telephone_number": "805-705-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "RICARDO",
        "middle_name": "DE DIOS",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW89565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Dale Pollack, M.D.
• Lianna Naomi Pollastrini
• Pomeroy Chiropractic Inc
• Grayson Cole Pomeroy, DC
• Kortney Alysse Ponce, DO
• Gary Nicholas Pontrelli, M.D.
• Rebecca Ann Mae Ponzio, MA, APCC
• Michael Poon, MD
• Alice Atkinson Pope, RN
• Stefan Popelka, RBT

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.