Individual provider Active NPI

Heather Joy Avila

  • Clinical Social Worker
  • La Palma, CA
National Provider Identifier
1962867705
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
95875 Issued in CA
Practice address
20 Centerpointe Dr Ste 130
La Palma, CA 90623-2562
Phone
(657) 325-8313
NPI assigned
Dec 21, 2015
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 95875 CA Primary

Addresses

Primary practice location

20 Centerpointe Dr Ste 130
La Palma, CA 90623-2562

Mailing address

20 Centerpointe Dr Ste 130
La Palma, CA 90623-2562
Phone (657) 325-8313

Other practice location 1

12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865
Phone (714) 361-7950

Other practice location 2

6 Centerpointe Dr Ste 700
LA Palma, CA 90623-2545
Phone (657) 325-8313

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
I20240424001439 CA Practitioner - Clinical Social Worker 9638519630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95875CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Mar 1, 2024 Accepting new patients
Telecare Corporation CurrentSince Mar 1, 2024 Accepting new patients
Telecare Corporation Current Accepting new patients
Telecare Corporation CurrentSince May 1, 2022 Accepting new patients
Telecare Corporation Past Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

12141 Brookhurst St
Garden Grove, CA 92840
Phone (714) 296-1934

12141 Brookhurst St
Ste 201
Garden Grove, CA 92840
Phone (657) 261-7140

20 Centerpointe Dr
Ste 130
La Palma, CA 90623
Phone (657) 325-8313

6 Centerpointe Dr
Ste 700
La Palma, CA 90623
Phone (213) 331-7774

23161 Mill Creek Dr
Ste 230
Laguna Hills, CA 92653
Phone (949) 264-5350

1910 N Bush St
Santa Ana, CA 92706
Phone (714) 361-4860

Organizations & group practices 5

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": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1962867705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CENTERPOINTE DR STE 130",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232562",
            "telephone_number": "657-325-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTERPOINTE DR STE 130",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232562",
            "telephone_number": "657-325-8313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12141 Brookhurst St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928402865",
            "country_code": "US",
            "telephone_number": "714-361-7950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Centerpointe Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "LA Palma",
            "state": "CA",
            "postal_code": "906232545",
            "country_code": "US",
            "telephone_number": "657-325-8313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA",
        "first_name": "HEATHER",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

Verify at the official NPI Registry.