Individual provider Active NPI

Oscar Corral

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1912627159
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
7401 Copper Ave NE
Albuquerque, NM 87108-2068
Phone
(505) 312-7296
Fax
(505) 916-5034
NPI assigned
Aug 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

7401 Copper Ave NE
Albuquerque, NM 87108-2068

Mailing address

10304 Docena PL NW
Albuquerque, NM 87114-4186
Phone (520) 250-7649

Other practice location 1

10304 Docena Pl NW
Albuquerque, NM 87114-4186
Phone (520) 250-7649

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1912627159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 DOCENA PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144186",
            "telephone_number": "520-250-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 COPPER AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082068",
            "telephone_number": "505-312-7296",
            "fax_number": "505-916-5034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10304 Docena Pl NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871144186",
            "country_code": "US",
            "telephone_number": "520-250-7649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRAL",
        "first_name": "OSCAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.