Active NPI
Berenice Miramontes
- Social Worker
- Los Angeles, CA
National Provider Identifier
1831976232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ACSW132517
- Practice address
- 12021 Wilmington Ave Ste 2B
Los Angeles, CA 90059-3019 - Phone
- (310) 221-6336
- NPI assigned
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | ACSW132517 | CA | Primary |
Addresses
Primary practice location
12021 Wilmington Ave Ste 2B
Los Angeles, CA 90059-3019
Mailing address
12021 Wilmington Ave Ste 2B
Los Angeles, CA 90059-3019
Phone (310) 221-6336
Other practice location 1
1701 E Cesar E Chavez Ave Ste 532
Los Angeles, CA 90033-2496
Phone (323) 545-3522 ext. 4531
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW132517 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1831976232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12021 WILMINGTON AVE STE 2B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593019",
"telephone_number": "310-221-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 WILMINGTON AVE STE 2B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593019",
"telephone_number": "310-221-6336"
}
],
"practiceLocations": [
{
"address_1": "1701 E Cesar E Chavez Ave Ste 532",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900332496",
"country_code": "US",
"telephone_number": "323-545-3522 x4531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRAMONTES",
"first_name": "BERENICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ACSW132517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.