Bobby Garcia Dizon, MSW, PPSC, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW122644 Issued in CA

Practice address

23119 Cottonwood Ave Ste A110
Moreno Valley, CA 92553-6622

Phone

(951) 413-5678

NPI assigned

Aug 31, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Riverside

  • Community/Behavioral Health Agency
  • Moreno Valley, CA
  • NPI 1194890541
  NPD (past)
• County of Riverside

  • Clinical Medical Laboratory
  • Riverside, CA
  • NPI 1952496010
  NPD (past)

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1194493593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28225 WALTHER AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555296",
            "telephone_number": "626-399-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23119 COTTONWOOD AVE STE A110",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925536622",
            "telephone_number": "951-413-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "BOBBY",
        "middle_name": "GARCIA",
        "credential": "MSW, PPSC, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW122644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VI Am Dinh, M.D.
• Ndiawar Diop
• Divergent Voices Speech Therapy PC
• Diverse Med Couriers LLC
• Sudhakar Dixit, MD
• Jonathan DO, D.O.
• Samantha DO, PHARM.D.
• Taylor Thuy DO
• Tram DO, PHARM.D.
• Huyen D Doan Stewart, O.D.

• Clinical Social Worker in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.