Individual provider Active NPI

Brian Ilagan, LCSW

  • Clinical Social Worker
  • Covina, CA
National Provider Identifier
1821711532
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
132467 Issued in CA
Practice address
440 N Barranca Ave # 4409
Covina, CA 91723-1722
Phone
(213) 222-6214
NPI assigned
Sep 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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 132467 CA Primary

Addresses

Primary practice location

440 N Barranca Ave # 4409
Covina, CA 91723-1722

Mailing address

440 N Barranca Ave # 4409
Covina, CA 91723-1722
Phone (213) 222-6214

Other practice location 1

5199 E Pacific Coast Hwy Ste 205
Long Beach, CA 90804-3349
Phone (562) 576-3408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205002204 CA Practitioner - Clinical Social Worker 8325531437 Practice locations: Covina, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Covina, CA 91723
Phone (213) 222-6214

440 N Barranca Ave
Suite 4409
Covina, CA 91723-1722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132467CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Abadi, Marriage and Family Therapist, Inc PastSince Jun 8, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1821711532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 4409",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "213-222-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 4409",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "213-222-6214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5199 E Pacific Coast Hwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908043349",
            "country_code": "US",
            "telephone_number": "562-576-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILAGAN",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "132467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.