Active NPI
Rosangel San Elias-Gaytan
- Mental Health Counselor
- Norwalk, CA
National Provider Identifier
1760756753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW32737
- Practice address
- 12440 Firestone Blvd
Suite # 316
Norwalk, CA 90650-4328 - Phone
- (323) 819-2329
- NPI assigned
- Mar 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | |||
| Mental Health Counselor | 101YM0800X | ASW32737 | CA | Primary |
Addresses
Primary practice location
12440 Firestone Blvd
Suite # 316
Norwalk, CA 90650-4328
Mailing address
12440 Firestone Blvd Ste 316
Norwalk, CA 90650-9319
Phone (323) 819-2329
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW32737 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1760756753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12440 FIRESTONE BLVD STE 316",
"city": "NORWALK",
"state": "CA",
"postal_code": "906509319",
"telephone_number": "323-819-2329",
"fax_number": "562-924-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12440 FIRESTONE BLVD",
"address_2": "SUITE # 316",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504328",
"telephone_number": "323-819-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN ELIAS-GAYTAN",
"first_name": "ROSANGEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-08",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW32737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.