Individual provider Active NPI

Lourdes Apodaca, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1952509689
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28254 Issued in CA
Practice address
5454 El Cajon Blvd
San Diego, CA 92115-3621
Phone
(619) 515-2400
Fax
(619) 546-9800
NPI assigned
Jul 3, 2007
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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 28254 CA Primary

Addresses

Primary practice location

5454 El Cajon Blvd
San Diego, CA 92115-3621

Mailing address

5454 El Cajon Blvd
San Diego, CA 92115-3621
Phone (619) 515-2400

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
I20170718000960 CA Practitioner - Clinical Social Worker 4688944077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of California, San Diego School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston Community HealthGroup PAC ID 8820084692, 21 clinicians

Practice addresses (Care Compare)

1140 Main St
Livingston, CA 95334-1257
Phone (209) 394-7913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28254CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lumira Healthcare CurrentSince May 30, 2017 Accepting new patients
Lumira Healthcare Current Accepting new patients
Lumira Healthcare CurrentSince May 30, 2017 Accepting new patients

Locations

7970 Lander Ave
Ste Ab
Hilmar, CA 95324
Phone (209) 262-1819

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

Interoperability endpoints

  • Direct secure messaging: lourdes.apodaca.p3@direct.livingstoncommunity.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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1952509689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153621",
            "telephone_number": "619-515-2400",
            "fax_number": "619-546-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153621",
            "telephone_number": "619-515-2400",
            "fax_number": "619-546-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APODACA",
        "first_name": "LOURDES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.