Antonietta Medrano Bailey

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW14879 Issued in CA

Practice address

1100 N State St
Los Angeles, CA 90033-5000

Phone

(323) 409-3071

NPI assigned

Jul 13, 2017

Last updated

Jul 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1801318506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N STATE ST RM A6F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N STATE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335000",
            "telephone_number": "323-409-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO BAILEY",
        "first_name": "ANTONIETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW14879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tal Medovoy, ACSW
• Medpartners Healthcare, Inc.
• Medpoint Whole Health
• Medpro Pharmacy Inc (Medpro Pharmacy)
• Medpros LLC
• Veronica Medrano Gonzalez
• Mayra Alejandra Medrano-Trujillo
• Amelia R Medrano, LCSW
• Angela Medrano
• Arianne Janette Medrano, PT, DPT

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.