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ERNESTVID TAMAYO III LCSW
NPI 1417532920
Social Worker - Clinical in Pasadena, CA

Active since March 16, 2021PECOS Enrolled
1719 N SUMMIT AVE, PASADENA, CA 91103(213) 503-0429 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 23, 2021, Mar 16, 2021 (2 updates tracked since 2021).

About Ernestvid Tamayo Iii Lcsw NPPES

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

ERNESTVID TAMAYO III LCSW (NPI 1417532920) is an individual clinical provider in Pasadena, California, licensed in California (95917) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417532920
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameERNESTVID TAMAYO IIICredential: LCSW
Location Address1719 N SUMMIT AVEPasadena, CA 91103-1844
Mailing Address1719 N Summit AvePasadena, CA 91103-1844 · (213) 503-0429
Phone(213) 503-0429
Sole ProprietorYes
Enumeration DateMarch 16, 2021
Last NPPES UpdateDecember 23, 20212 updates tracked since enumeration
NPPES CertifiedDecember 23, 2021
✔ NPI 1417532920 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 · 95917
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.
1719 N SUMMIT AVE, Pasadena, CA 91103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ernestvid Tamayo Iii Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91103 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 Ernestvid Tamayo's NPI number?

The NPI number for Ernestvid Tamayo is 1417532920. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Ernestvid Tamayo located?

Ernestvid Tamayo practices at 1719 N Summit Ave, Pasadena, CA 91103. The listed phone number is (213) 503-0429.

What is Ernestvid Tamayo's specialty?

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

Is Ernestvid Tamayo enrolled in Medicare?

Yes. Ernestvid Tamayo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ernestvid Tamayo was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.