Active NPI
Destiny Alexis Gant
- Social Worker
- Menifee, CA
National Provider Identifier
1194584102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 26294 Briarwood Cir
Menifee, CA 92584-2753 - Phone
- (951) 387-0206
- NPI assigned
- Mar 13, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CA | Primary | |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
26294 Briarwood Cir
Menifee, CA 92584-2753
Mailing address
26294 Briarwood Cir
Menifee, CA 92584-2753
Phone (951) 387-0206
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1194584102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26294 BRIARWOOD CIR",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925842753",
"telephone_number": "951-387-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26294 BRIARWOOD CIR",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925842753",
"telephone_number": "951-387-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANT",
"first_name": "DESTINY",
"middle_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.