Active NPI
Sandra V Garcia
- Clinical Social Worker
- Van Nuys, CA
National Provider Identifier
1063760296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 36324
- Practice address
- 6851 Lennox Ave
Suite 100
Van Nuys, CA 91405-4073 - Phone
- (818) 739-5469
- NPI assigned
- Aug 20, 2012
- Last updated
- Oct 16, 2015
- 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 | 36324 | CA | Primary |
Addresses
Primary practice location
6851 Lennox Ave
Suite 100
Van Nuys, CA 91405-4073
Mailing address
6851 Lennox Ave
Van Nuys, CA 91405-4073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36324 | Other | CA | ASSOCIATE SOCIAL WORKER NUMBER |
Other names 1
- Sanda V Diaz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36324 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1063760296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6851 LENNOX AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6851 LENNOX AVE",
"address_2": "SUITE 100",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054073",
"telephone_number": "818-739-5469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "SANDRA",
"middle_name": "V",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-20",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "36324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSOCIATE SOCIAL WORKER NUMBER",
"identifier": "36324",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDA",
"last_name": "DIAZ",
"middle_name": "V",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.