Active NPI
Nancy Tellez
- Social Worker
- Oxnard, CA
National Provider Identifier
1881047611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 92858
- Practice address
- 2130 N Ventura Rd
Oxnard, CA 93036-2246 - Phone
- (510) 317-1444
- NPI assigned
- Jul 17, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 92858 | CA | |
| Social Worker | 104100000X | 92858 | CA | Primary |
Addresses
Primary practice location
2130 N Ventura Rd
Oxnard, CA 93036-2246
Mailing address
2130 N Ventura Rd
Oxnard, CA 93036-2246
Phone (510) 317-1444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D4009193 | Other | CA | DRIVERS LICENCE |
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 |
|---|---|---|---|
| 92858 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1881047611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 N VENTURA RD",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362246",
"telephone_number": "510-317-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 N VENTURA RD",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362246",
"telephone_number": "510-317-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLEZ",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-17",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "92858",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "92858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENCE",
"identifier": "D4009193",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.