CARLOS TAPIA
NPI 1083929566
Social Worker - Clinical in El Centro, CA

Active since August 09, 2010PECOS Enrolled
328 APPLESTILLE RD, EL CENTRO, CA 92243(442) 265-2254(760) 336-3995 Get Directions Write a Review

NPPES record last updated: May 28, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Carlos Tapia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS TAPIA (NPI 1083929566) is an individual clinical provider in El Centro, California, licensed in California (79937) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083929566
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCARLOS TAPIA
Location Address328 APPLESTILLE RDEl Centro, CA 92243-9661
Mailing Address328 Applestille RdEl Centro, CA 92243-9661 · (442) 265-2254 · Fax (760) 336-3995
Fax(760) 336-3995
Sole ProprietorNo
Enumeration DateAugust 9, 2010
Last NPPES UpdateMay 28, 2023
NPPES CertifiedMay 28, 2023
✔ NPI 1083929566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 79937
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
328 APPLESTILLE RD, El Centro, CA 92243

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Tapia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carlos Tapia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
1309 COFFEEN AVE STE 1200
Sheridan, WY 82801
  • Reassigned Medicare billing, Oregon enrollment
  • 47 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.90 – $176.72
Typical copayment $0.00 (range $14.72 – $44.18)
Most-billed visit code NA
Established Patient
$73.20 typical visit price
range $19.28 – $144.68
Typical copayment $18.30 (range $4.82 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Tapia's NPI number?

The NPI number for Carlos Tapia is 1083929566. It was assigned to this individual provider in the NPPES registry on August 9, 2010.

Where is Carlos Tapia located?

Carlos Tapia practices at 328 Applestille Rd, El Centro, CA 92243. The listed phone number is (442) 265-2254.

What is Carlos Tapia's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Carlos Tapia enrolled in Medicare?

Yes. Carlos Tapia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Tapia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Tapia reassigns Medicare benefits to Lgbtq Telepsychiatry (Sheridan, WY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Tapia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Tapia accept?

Health plans from Moda Health Plan, Inc. list Carlos Tapia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carlos Tapia was last updated on May 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.