Active NPI
Krystal Gamez
- Social Worker
- Pasadena, CA
National Provider Identifier
1780018234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ACW62929
- Practice address
- 867 N Fair Oaks Ave
Pasadena, CA 91103-3083 - Phone
- (626) 798-6793
- NPI assigned
- Sep 2, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | ACW62929 | CA | Primary |
Addresses
Primary practice location
867 N Fair Oaks Ave
Pasadena, CA 91103-3083
Mailing address
867 N Fair Oaks Ave
Pasadena, CA 91103-3083
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 |
|---|---|---|---|
| ACW62929 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1780018234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "867 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033083",
"telephone_number": "626-798-6793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMEZ",
"first_name": "KRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-02",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"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": "ACW62929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.