Individual provider Active NPI

Guillermo Haro Miramontes, ACSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1801787650
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123861 Issued in CA
Practice address
6145 Imperial Ave
San Diego, CA 92114-4213
Phone
(619) 234-8888
NPI assigned
Jul 10, 2025
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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 123861 CA Primary

Addresses

Primary practice location

6145 Imperial Ave
San Diego, CA 92114-4213

Mailing address

6145 Imperial Ave
San Diego, CA 92114-4213
Phone (619) 234-8888

Other practice location 1

1465 30th St Ste K
San Diego, CA 92154-3497
Phone (619) 428-1000

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

LicenseStateTypeSpecialty
123861CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Second Chance Program CurrentSince Jul 13, 2025 Accepting new patients
San Diego Second Chance Program CurrentSince Jul 13, 2025 Accepting new patients

Locations

6145 Imperial Ave
San Diego, CA 92114
Phone (619) 234-8888

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1801787650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 IMPERIAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921144213",
            "telephone_number": "619-234-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 IMPERIAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921144213",
            "telephone_number": "619-234-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 30th St Ste K",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921543497",
            "country_code": "US",
            "telephone_number": "619-428-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARO MIRAMONTES",
        "first_name": "GUILLERMO",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-10",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "123861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.