Active NPI
Nathalie Exconde
- Social Worker
- Palmdale, CA
National Provider Identifier
1992259527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 92645
- Practice address
- 1529 East Palmdale Blvd Suite 150
Palmdale, CA 93550 - Phone
- (661) 575-1800
- Fax
- (661) 265-6025
- NPI assigned
- Aug 11, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 92645 | CA | Primary |
Addresses
Primary practice location
1529 East Palmdale Blvd Suite 150
Palmdale, CA 93550
Mailing address
P.O. Box 901961
Palmdale, CA 93590-1961
Phone (661) 264-7165
Other names 1
- Nathalie Solis
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 |
|---|---|---|---|
| 92645 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1992259527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 901961",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935901961",
"telephone_number": "661-264-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 EAST PALMDALE BLVD SUITE 150",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93550",
"telephone_number": "661-575-1800",
"fax_number": "661-265-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXCONDE",
"first_name": "NATHALIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-11",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "92645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATHALIE",
"last_name": "SOLIS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.