Individual provider Active NPI

Maricela Partida

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1972962793
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
95645 Issued in CA
Practice address
2772 4TH Ave
San Diego, CA 92103-6206
Phone
(619) 295-6067
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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 95645 CA Primary

Addresses

Primary practice location

2772 4TH Ave
San Diego, CA 92103-6206

Mailing address

2772 4TH Ave
San Diego, CA 92103-6206
Phone (619) 295-6067

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
I20210922000835 CA Practitioner - Clinical Social Worker 4981001732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loma Linda University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serene HealthGroup PAC ID 0244652139, 23 clinicians

Practice addresses (Care Compare)

9265 Sky Park CT
Suite 100
San Diego, CA 92123-4375
Phone (619) 329-4483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95645CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Health Ipa CurrentSince Sep 17, 2021 Accepting new patients
Serene Health Mental Health CurrentSince Sep 17, 2021 Accepting new patients
Community Research Foundation Inc Past Accepting new patients
Community Research Foundation Past Accepting new patients

Locations

4452 Park Blvd
Ste 302
San Diego, CA 92116

4849 Ronson Ct
Ste 207
San Diego, CA 92111
Phone (619) 329-4483

4849 Ronson Ct
Ste 206
San Diego, CA 92111
Phone (619) 602-4557

9265 Sky Park Ct
Ste 100
San Diego, CA 92123
Phone (619) 329-4483

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1972962793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036206",
            "telephone_number": "619-295-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036206",
            "telephone_number": "619-295-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTIDA",
        "first_name": "MARICELA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.