Active NPI
Raul Ernesto Cornejo, ACSW 138733
- Clinical Social Worker
- Cathedral City, CA
National Provider Identifier
1740197714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 138733
- Practice address
- 35325 Date Palm Dr Ste 150
Cathedral City, CA 92234-7002 - Phone
- (442) 307-3395
- NPI assigned
- Aug 26, 2026
- 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 | 138733 | CA | Primary |
Addresses
Primary practice location
35325 Date Palm Dr Ste 150
Cathedral City, CA 92234-7002
Mailing address
15102 Riverview LN
Victorville, CA 92394-0547
Phone (551) 208-5629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1740197714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15102 RIVERVIEW LN",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923940547",
"telephone_number": "551-208-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35325 DATE PALM DR STE 150",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922347002",
"telephone_number": "442-307-3395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNEJO",
"first_name": "RAUL",
"middle_name": "ERNESTO",
"name_prefix": "Mr.",
"credential": "ACSW 138733",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "138733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.