Individual provider Active NPI

Ceasar Mejia, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1740708999
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100733 Issued in CA
Practice address
333 S Central Ave
Los Angeles, CA 90013-1724
Phone
(213) 675-6131
NPI assigned
Sep 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 78332 CA
Clinical Social Worker 1041C0700X 100733 CA Primary

Addresses

Primary practice location

333 S Central Ave
Los Angeles, CA 90013-1724

Mailing address

573 Fraser Ave
Los Angeles, CA 90022-1945
Phone (213) 235-8732

Other practice location 1

204 Hampton Dr
Venice, CA 90291-2623
Phone (310) 396-6468

Other practice location 2

1905 Pico Blvd
Santa Monica, CA 90405-1627
Phone (310) 450-1748

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

State licenses

LicenseStateTypeSpecialty
78332CAMDMental Health Counselor
100733CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calfornia Care Centers, Inc. PastSince Apr 30, 2023 Accepting new patients

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1740708999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 FRASER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221945",
            "telephone_number": "213-235-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131724",
            "telephone_number": "213-675-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Hampton Dr",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "CA",
            "postal_code": "902912623",
            "country_code": "US",
            "telephone_number": "310-396-6468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 Pico Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904051627",
            "country_code": "US",
            "telephone_number": "310-450-1748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "CEASAR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "78332",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.