Organization Active NPI

Tierra Luz Community Practice, License Clinical Social Worker, a Professional Corporation

  • Clinical Social Worker
  • Oxnard, CA
National Provider Identifier
1972478170
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TIERRA LUZ COMMUNITY PRACTICE, LICENSE CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION
Practice address
721 S a St Ste C
Oxnard, CA 93030-7179
Phone
(805) 767-9788
NPI assigned
Oct 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Kathleen Judith Baca Leanos, LCSWNPI 1386043370
Title
Chief Operating Officer
Phone
(661) 510-2423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

721 S a St Ste C
Oxnard, CA 93030-7179

Mailing address

PO Box 93
Oxnard, CA 93032-0093
Phone (805) 767-9788

Other names 1

  • Tierra Luz Community Practice Doing business as

National Provider Directory

National Provider Directory

Locations

721 S A St
Ste C
Oxnard, CA 93030
Phone (805) 767-9788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1972478170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930320093",
            "telephone_number": "805-767-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S A ST STE C",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307179",
            "telephone_number": "805-767-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIERRA LUZ COMMUNITY PRACTICE, LICENSE CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "BACA LEANOS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "661-510-2423",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tierra Luz Community Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.