Gabriela Aguilar
Individual provider Active NPI Clinical Social Worker · El Monte, CA
NPI 1780139576 · NPPES record last updated Nov 21, 2022
Key facts
- NPI
- 1780139576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW107510 (CA)
- Practice address
- 3569 Lexington Ave
El Monte, CA 91731-2607 - Phone
- (626) 453-3398
- NPI assigned
- Aug 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230106001907 | CA | Practitioner - Clinical Social Worker | 8527438548 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW107510 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Mental Health | Current |
Accepting new patients |
| Sud Specialty Group - Ca | Clinical | Current |
Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW107510 | CA | Yes |
Addresses
Primary practice location
3569 Lexington Ave
El Monte, CA 91731-2607
Mailing address
3569 Lexington Ave
El Monte, CA 91731-2607
Phone (626) 453-3399
Other practice location 1
2500 E Foothill Blvd
Pasadena, CA 91107-3464
Phone (626) 744-5230
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in El Monte, CA
- Aegis Treatment Centers, LLC
- Afar Dental Inc.
- Ruzanna Agamyan
- Anshu Agarwal
- Brianna Marie Aguilar
- Gabriela Aguilar
- Genoveva Aguilar
- Gloria Maria Aguilar
- Tania Aguilera
- Yu-Nien Agustin
All providers in El Monte, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.