Active NPI
Tanya Gavino de Flores, LCSW
- Clinical Social Worker
- Whittier, CA
National Provider Identifier
1942848247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28134
- Practice address
- 13006 Philadelphia St
Whittier, CA 90601-4210 - Phone
- (562) 250-4319
- NPI assigned
- Dec 17, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 28134 | CA | Primary |
Addresses
Primary practice location
13006 Philadelphia St
Whittier, CA 90601-4210
Mailing address
8484 Via Sierra Ramal Ave
Whittier, CA 90605-1244
Phone (562) 250-4319
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28134 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1942848247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8484 VIA SIERRA RAMAL AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906051244",
"telephone_number": "562-250-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13006 PHILADELPHIA ST",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906014210",
"telephone_number": "562-250-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVINO DE FLORES",
"first_name": "TANYA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "28134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.