Individual provider Active NPI

David Recinos, LCSW

  • Clinical Social Worker
  • Oxnard, CA
National Provider Identifier
1952775728
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
95624 Issued in CA
Practice address
1000 Town Center Dr Ste 300
Oxnard, CA 93036-1117
Phone
(805) 774-0034
NPI assigned
Nov 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW67238 CA
Mental Health Counselor 101YM0800X IMF67238 CA
Clinical Social Worker 1041C0700X ASW67238 CA
Clinical Social Worker 1041C0700X 95624 CA Primary

Addresses

Primary practice location

1000 Town Center Dr Ste 300
Oxnard, CA 93036-1117

Mailing address

1000 Town Center Dr Ste 300
Oxnard, CA 93036-1117
Phone (805) 774-0034

Other practice location 1

921 W Avenue J
Lancaster, CA 93534-3443
Phone (661) 949-0131

Other practice location 2

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

Other practice location 3

9650 Zelzah Ave
Northridge, CA 91325-2003
Phone (661) 265-8627

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Oxnard Direct

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
I20210510001371 CA Practitioner - Clinical Social Worker 3870902547 Practice locations: Valencia, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF67238CAMDMental Health Counselor
ASW67238CAMDSocial Worker
95624CAMDClinical Social Worker

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23027/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1952775728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWN CENTER DR STE 300",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361117",
            "telephone_number": "805-774-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWN CENTER DR STE 300",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361117",
            "telephone_number": "805-774-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 W Avenue J",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343443",
            "country_code": "US",
            "telephone_number": "661-949-0131",
            "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"
        },
        {
            "address_1": "9650 Zelzah Ave",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913252003",
            "country_code": "US",
            "telephone_number": "661-265-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECINOS",
        "first_name": "DAVID",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2021-04-19",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW67238",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF67238",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW67238",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oxnard",
            "affiliation": "N",
            "endpointDescription": "Mental Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Oxnard",
            "address_1": "23921 Del Monte Dr Unit 40",
            "city": "Valencia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913553363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.