Gabriela Reynoso Villavicencio

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105998 Issued in CA

Practice address

17800 Woodruff Ave Ste F
Bellflower, CA 90706-7080

Phone

(562) 866-8956

Fax

(562) 866-4158

NPI assigned

Apr 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Action Commission of Santa Barbara County

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
  • NPI 1386722205
  NPD (past)
• Santa Barbara County Auditor

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1902162159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PROSPECT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141814",
            "telephone_number": "562-746-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 WOODRUFF AVE STE F",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067080",
            "telephone_number": "562-866-8956",
            "fax_number": "562-866-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO VILLAVICENCIO",
        "first_name": "GABRIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "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": "105998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Reyes, BA
• Johnny Abel Reyes
• Nilo De Castro Reyes
• Roice Reyes
• Teresa C Reyes, OD
• Maria E. Reynoso, MD
• Rhemaphlebix LLC
• Jalil Riazi, MD
• Miranda Joy Richards
• Rick T Kim DDS Inc

• Clinical Social Worker in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.