Individual provider Active NPI

Robin Linda Dieda, L.C.S.W.

  • Clinical Social Worker
  • San Pedro, CA
National Provider Identifier
1023283371
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18217 Issued in CA
Practice address
1447 W 7TH Street #C
San Pedro, CA 90732-3506
Phone
(310) 738-7414
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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 18217 CA Primary

Addresses

Primary practice location

1447 W 7TH Street #C
San Pedro, CA 90732-3506

Mailing address

1447 W 7TH Street #C
San Pedro, CA 90732-3506
Phone (310) 738-7414

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
I20090113000331 CA Practitioner - Clinical Social Worker 3678636941 Practice locations: San Pedro, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1447 W 7TH St
C
San Pedro, CA 90732-3506
Phone (310) 738-7414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1023283371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 W 7TH STREET #C",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323506",
            "telephone_number": "310-738-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 W 7TH STREET #C",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323506",
            "telephone_number": "310-738-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDA",
        "first_name": "ROBIN",
        "middle_name": "LINDA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "18217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.