Individual provider Active NPI

Esperanza Ceja

  • Clinical Social Worker
  • San Dimas, CA
National Provider Identifier
1780939074
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW80924 Issued in CA
Practice address
1900 Sycamore Canyon Rd
San Dimas, CA 91773-1220
Phone
(909) 592-0579
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW80924 CA Primary

Addresses

Primary practice location

1900 Sycamore Canyon Rd
San Dimas, CA 91773-1220

Mailing address

2750 E Washington Blvd Ste 230
Pasadena, CA 91107-1449
Phone (626) 296-8900

Other practice location 1

2750 E Washington Blvd Ste 230
Pasadena, CA 91107-1449
Phone (626) 296-8900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW80924CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1780939074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 E WASHINGTON BLVD STE 230",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071449",
            "telephone_number": "626-296-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SYCAMORE CANYON RD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731220",
            "telephone_number": "909-592-0579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 E Washington Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911071449",
            "country_code": "US",
            "telephone_number": "626-296-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEJA",
        "first_name": "ESPERANZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW80924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.