Individual provider Active NPI

Maria Berenice Del Real Zepeda

  • Case Manager/Care Coordinator
  • Torrance, CA
National Provider Identifier
1801160957
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1000 W. Carson St.
Box 497
Torrance, CA 90509
Phone
(310) 222-1602
Fax
(310) 212-7609
NPI assigned
Mar 6, 2012
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

1000 W. Carson St.
Box 497
Torrance, CA 90509

Mailing address

21732 S Vermont Ave Ste 210
Torrance, CA 90502-2180
Phone (310) 781-3400

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

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1801160957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21732 S VERMONT AVE STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022180",
            "telephone_number": "310-781-3400",
            "fax_number": "310-782-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W. CARSON ST.",
            "address_2": "BOX 497",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90509",
            "telephone_number": "310-222-1602",
            "fax_number": "310-212-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL REAL ZEPEDA",
        "first_name": "MARIA",
        "middle_name": "BERENICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.