Active NPI
John Gaspari, LCSW
- Clinical Social Worker
- Manhattan Beach, CA
National Provider Identifier
1811397987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS15507
- Practice address
- 1624 21St St
Manhattan Beach, CA 90266-4041 - Phone
- (213) 400-0940
- NPI assigned
- Aug 26, 2014
- Last updated
- Aug 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS15507 | CA | Primary |
Addresses
Primary practice location
1624 21St St
Manhattan Beach, CA 90266-4041
Mailing address
1624 21St St
Manhattan Beach, CA 90266-4041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 28, 2024 through Mar 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS15507 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1811397987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 21ST ST",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902664041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 21ST ST",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902664041",
"telephone_number": "213-400-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASPARI",
"first_name": "JOHN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS15507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
- Christine Linda Garcia
- Elise Garcia
- Garfield Beach CVS LLC (CVS Pharmacy #16049)
- Garfield Beach CVS LLC (CVS Pharmacy #09496)
- Gary M Lazarus OD PHD Apc
- Heidi L Gastler, DPT
- Michelle Geelhoed, PHYSICIAN ASSISTANT
- Genesis Concierge Medicine
- Genesis Family Care Medical Group, Inc. (Pacific Coast Family Medical Group)
- Jason K Gentile, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.