Active NPI
Juan Antonio Zaragoza Alonso
- Clinical Social Worker
- Palm Springs, CA
National Provider Identifier
1982084539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW112307
- Practice address
- 2500 N Palm Canyon Dr Ste A4
Palm Springs, CA 92262-1866 - Phone
- (760) 424-5602
- NPI assigned
- Jun 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW112307 | CA | Primary |
Addresses
Primary practice location
2500 N Palm Canyon Dr Ste A4
Palm Springs, CA 92262-1866
Mailing address
PO Box 2522
Indio, CA 92202-3322
Phone (760) 609-5572
Other names 1
- Juan Antonio Alonso
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 |
|---|---|---|---|
| LCSW112307 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728691200000",
"number": "1982084539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2522",
"city": "INDIO",
"state": "CA",
"postal_code": "922023322",
"telephone_number": "760-609-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N PALM CANYON DR STE A4",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922621866",
"telephone_number": "760-424-5602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSO",
"first_name": "JUAN",
"middle_name": "ANTONIO ZARAGOZA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-08",
"last_updated": "2024-10-12",
"certification_date": "2024-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW112307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUAN",
"last_name": "ALONSO",
"middle_name": "ANTONIO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.