Active NPI
Jessica Estellina Nunez, LCSW, MPH
- Clinical Social Worker
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW65027
- Practice address
- 1680 E 120TH St
Los Angeles, CA 90059-3026 - Phone
- (424) 338-8568
- NPI assigned
- Aug 17, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW65027 | CA | Primary |
Addresses
Primary practice location
1680 E 120TH St
Los Angeles, CA 90059-3026
Mailing address
2251 W Rosecrans Ave Ste 18-21
Compton, CA 90222-3858
Phone (424) 338-8568
Other names 1
- Jessica Estellina Colon
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW65027 | CA | MD | Clinical Social Worker |
| 65027 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients |
Locations
2251 W Rosecrans Ave
Ste 1821
Compton, CA 90222
Phone (424) 338-8675
2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 296-3976
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1356899777
-
- Multi-Specialty Clinic/Center
- Compton, CA
- NPI 1306496641
-
- Radiology Clinic/Center
- Los Angeles, CA
- NPI 1346082294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1992937478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 W ROSECRANS AVE STE 18-21",
"city": "COMPTON",
"state": "CA",
"postal_code": "902223858",
"telephone_number": "424-338-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 E 120TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593026",
"telephone_number": "424-338-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "JESSICA",
"middle_name": "ESTELLINA",
"name_prefix": "Ms.",
"credential": "LCSW, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-17",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW65027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "COLON",
"middle_name": "ESTELLINA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.