Active NPI
Zehra Dos Santos
- Clinical Social Worker
- Arroyo Grande, CA
National Provider Identifier
1174259113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 116426
- Practice address
- 130 W Branch St Ste B
Arroyo Grande, CA 93420-6617 - Phone
- (805) 710-8081
- NPI assigned
- Jul 30, 2022
- 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 | 116426 | CA | Primary |
Addresses
Primary practice location
130 W Branch St Ste B
Arroyo Grande, CA 93420-6617
Mailing address
8605 Santa Monica Blvd
PMB 687648
West Hollywood, CA 90069-4109
Phone (805) 710-8081
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 |
|---|---|---|---|
| 116426 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Jimenez Family Therapy | Current | Accepting new patients |
Locations
130 W Branch St
Ste B
Arroyo Grande, CA 93420
Phone (805) 364-2816
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arroyo Grande, CA
- NPI 1689482507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1174259113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8605 SANTA MONICA BLVD",
"address_2": "PMB 687648",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694109",
"telephone_number": "805-710-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W BRANCH ST STE B",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934206617",
"telephone_number": "805-710-8081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOS SANTOS",
"first_name": "ZEHRA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-30",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "116426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.