Active NPI
Keira Membreno
- Clinical Social Worker
- Long Beach, CA
National Provider Identifier
1891186938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 87981
- Practice address
- 2600 Redondo Ave FL 6
Long Beach, CA 90806-2325 - Phone
- (562) 256-2900
- NPI assigned
- Feb 11, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 87981 | CA | Primary |
Addresses
Primary practice location
2600 Redondo Ave FL 6
Long Beach, CA 90806-2325
Mailing address
2600 Redondo Ave FL 6
Long Beach, CA 90806-2325
Phone (562) 256-2900
Other practice location 1
1000 West Carson St.
Torrance, CA 90502
Phone (310) 222-3734 ext. 3134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87981 | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1891186938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 REDONDO AVE FL 6",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062325",
"telephone_number": "562-256-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 REDONDO AVE FL 6",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062325",
"telephone_number": "562-256-2900"
}
],
"practiceLocations": [
{
"address_1": "1000 West Carson St.",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "90502",
"country_code": "US",
"telephone_number": "310-222-3734 x3134",
"fax_number": "310-222-3134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEMBRENO",
"first_name": "KEIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-11",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "87981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87981",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.