Individual provider Active NPI

Jazmin Cardona

  • Social Worker
  • Valencia, CA
National Provider Identifier
1922745728
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW129810 Issued in CA
Practice address
23501 Cinema Dr
Valencia, CA 91355-5428
Phone
(213) 544-9724
NPI assigned
May 13, 2022
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW107359 CA
Social Worker 104100000X LCSW129810 CA Primary
Clinical Social Worker 1041C0700X ASW107359 CA

Addresses

Primary practice location

23501 Cinema Dr
Valencia, CA 91355-5428

Mailing address

23501 Cinema Dr
Valencia, CA 91355-5428

Other practice location 1

5555 Ferguson Dr
Commerce, CA 90022-5133
Phone (323) 869-7133

Other practice location 2

23501 Cinema Dr
Valencia, CA 91355-5428
Phone (213) 544-9724

Other practice location 3

820 S Rosemead Blvd Apt 105
Pasadena, CA 91107-5617
Phone (760) 425-6773

Other practice location 4

867 N Fair Oaks Ave
Pasadena, CA 91103-3050
Phone (626) 798-6793

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
I20250829003886 CA Practitioner - Clinical Social Worker 6002317039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3000 S Robertson Blvd
Suite 280
Los Angeles, CA 90034-3144

PO Box
Suite 4861
Calexico, CA 92232-4861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW107359CAMDMental Health Counselor
LCSW129810CAMDSocial Worker
129810CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc Current Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Aug 14, 2025 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Aug 14, 2025 Accepting new patients

Locations

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

5831 Firestone Blvd
Ste E
South Gate, CA 90280
Phone (562) 600-4471

Interoperability endpoints

  • Direct secure messaging: jazmin.cardona.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1922745728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23501 CINEMA DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23501 CINEMA DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555428",
            "telephone_number": "213-544-9724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Ferguson Dr",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900225133",
            "country_code": "US",
            "telephone_number": "323-869-7133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23501 Cinema Dr",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555428",
            "country_code": "US",
            "telephone_number": "213-544-9724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 S Rosemead Blvd Apt 105",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911075617",
            "country_code": "US",
            "telephone_number": "760-425-6773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "867 N Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911033050",
            "country_code": "US",
            "telephone_number": "626-798-6793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "JAZMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW107359",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW129810",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW107359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.