Active NPI
Victoria Rubi Gardea, MSW
- Social Worker
- Santa Fe Springs, CA
National Provider Identifier
1972627545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW103112
- Practice address
- 11731 Telegraph Rd Ste K
Santa Fe Springs, CA 90670-6815 - Phone
- (626) 348-4611
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 5, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW103112 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Rehabilitation Counselor | 225C00000X | |||
| Social Worker | 104100000X | ASW103112 | CA | Primary |
Addresses
Primary practice location
11731 Telegraph Rd Ste K
Santa Fe Springs, CA 90670-6815
Mailing address
1052 Eaglemont Avenue
Whittier, CA 90601-1219
Phone (626) 252-5608
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 |
|---|---|---|---|
| ASW103112 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Integrated Family and Health Services | Past | Accepting new patients | |
| Center for Integrated Family and Health Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1326209982
-
- Community/Behavioral Health Agency
- Baldwin Park, CA
- NPI 1780928655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1972627545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1052 EAGLEMONT AVENUE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906011219",
"telephone_number": "626-252-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11731 TELEGRAPH RD STE K",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906706815",
"telephone_number": "626-348-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDEA",
"first_name": "VICTORIA",
"middle_name": "RUBI",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW103112",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW103112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.