Individual provider Active NPI

Elmer Ivan Herrera

  • Clinical Social Worker
  • Pico Rivera, CA
National Provider Identifier
1891830014
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88916 Issued in CA
Practice address
8825 Whittier Blvd
Pico Rivera, CA 90660-2657
Phone
(562) 699-3333
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 88916 CA Primary

Addresses

Primary practice location

8825 Whittier Blvd
Pico Rivera, CA 90660-2657

Mailing address

16112 Haldane St
Whittier, CA 90603-2814
Phone (323) 205-8435

Other practice location 1

12100 Valley Blvd Ste 109A
El Monte, CA 91732-3161
Phone (626) 575-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200625003152 CA Practitioner - Clinical Social Worker 8527480227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Medical Center, Inc. CurrentSince Jun 8, 2020 Accepting new patients
Southern California Medical Center, Inc. CurrentSince Jun 8, 2020 Accepting new patients
Mejia Family Counseling, Inc Clinical PastSince Dec 31, 2023 Accepting new patients
Southern California Medical Center, Inc. Past Accepting new patients
Core a Licensed Clinical Social Worker Corporation Clinical PastSince Oct 2, 2022 Accepting new patients

Locations

12100 Valley Blvd
Ste 109A
El Monte, CA 91732
Phone (626) 575-7500

12100 Valley Blvd
Ste 109
El Monte, CA 91732

1627 E Anaheim St
Long Beach, CA 90813
Phone (562) 437-0373

8825 Whittier Blvd
Pico Rivera, CA 90660
Phone (562) 699-3333

Interoperability endpoints

  • Direct secure messaging: ivan.herrera.p1@direct.scmedcenter.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1891830014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16112 HALDANE ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032814",
            "telephone_number": "323-205-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 WHITTIER BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602657",
            "telephone_number": "562-699-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12100 Valley Blvd Ste 109A",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917323161",
            "country_code": "US",
            "telephone_number": "626-575-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ELMER",
        "middle_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

Verify at the official NPI Registry.