Yesenia Ruby De Anda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

99836 Issued in CA

Practice address

732 Mott St Ste 100
San Fernando, CA 91340-4240

Phone

(818) 847-7450

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFDBCA

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.

• San Fernando Community Hospital

  dba San Fernando Community Health Center

  • Primary Care Clinic/Center
  • San Fernando, CA
  • NPI 1245669555
  NPD
• San Fernando Community Health Center

  • Clinic/Center
  • San Fernando, CA
  • NPI 1093151821
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1831749860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950551",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913950551",
            "telephone_number": "818-963-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MOTT ST STE 100",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404240",
            "telephone_number": "818-847-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ANDA",
        "first_name": "YESENIA",
        "middle_name": "RUBY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "77024",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roselia Davila
• Beth Diane Davis, RDH
• Desmond Deon Davis
• Dianne Fredricka Davis, MPH
• Nahil Issa Dawud
• Daniel Deldo
• Dejoun Dennard
• Elaine H. Der, PHARM.D.
• Shalini Bhakta Desai, PA
• Dayana Diaz Diaz

• Clinical Social Worker in San Fernando, CA
• Providers in San Fernando, 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 Feb 4, 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.