Individual provider Active NPI

Jessica Estellina Nunez, LCSW, MPH

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1992937478
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW65027 Issued in CA
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

Updated by the provider on Nov 22, 2023

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 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 Former name

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
I20191227001851 CA Practitioner - Clinical Social Worker 5092149070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW65027CAMDClinical Social Worker
65027CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 12, 2024 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 12, 2024 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.

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

Verify at the official NPI Registry.