Carlos A Granados Quintanilla

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101795 Issued in CA

Practice address

23824 Hawthorne Blvd Ste 200
Torrance, CA 90505-5935

Phone

(310) 791-3064

Fax

(310) 791-3084

NPI assigned

Feb 3, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlos.quintanillalscw.p1@direct.jwch.nextgenshare.com

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.

• Fleming & Barnes

  • Social Worker
  • Torrance, CA
  • NPI 1538037031
  NPD
• Fleming & Barnes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lancaster, CA
  • NPI 1225651151
  NPD

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1992163034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43713 20TH ST W STE 2",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344628",
            "telephone_number": "818-221-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23824 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055935",
            "telephone_number": "310-791-3064",
            "fax_number": "310-791-3084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 W Jackman St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342531",
            "country_code": "US",
            "telephone_number": "818-221-8218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANADOS QUINTANILLA",
        "first_name": "CARLOS",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101795",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "84644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keiko Graham
• Sondra Graham
• Erin Grahmann, LMFT
• Lilyann Gramillo
• Dana Granado
• Nida Granados, LCSW
• Silvia Granados
• Hollie F Granato, PH.D.
• Grancare LLC
• Grand Madison Inc.

• Clinical Social Worker in Torrance, CA
• Providers in Torrance, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.