Active NPI
Julissa Yepez
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1871995019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62811
- Practice address
- 1721 Griffin Ave
Los Angeles, CA 90031-3312 - Phone
- (323) 221-4134
- NPI assigned
- Sep 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 62811 | CA | Primary |
Addresses
Primary practice location
1721 Griffin Ave
Los Angeles, CA 90031-3312
Mailing address
8166 Virginia Ave
South Gate, CA 90280-2408
Other practice location 1
21520 Pioneer Blvd Ste 110
Hawaiian Gardens, CA 90716-2604
Phone (562) 207-4272 ext. 152
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 |
|---|---|---|---|
| 62811 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1871995019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8166 VIRGINIA AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 GRIFFIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900313312",
"telephone_number": "323-221-4134"
}
],
"practiceLocations": [
{
"address_1": "21520 Pioneer Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Hawaiian Gardens",
"state": "CA",
"postal_code": "907162604",
"country_code": "US",
"telephone_number": "562-207-4272 x152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEPEZ",
"first_name": "JULISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "62811",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.