Active NPI
Santiago Pedraza
- Clinical Social Worker
- Garden Grove, CA
National Provider Identifier
1235057407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 13300 Garden Grove Blvd
Garden Grove, CA 92843-2207 - Phone
- (714) 468-1058
- NPI assigned
- Jul 7, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
13300 Garden Grove Blvd
Garden Grove, CA 92843-2207
Mailing address
7051 Maddox Dr Apt 14
Huntington Beach, CA 92647-4426
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": "1783382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1235057407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7051 MADDOX DR APT 14",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13300 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928432207",
"telephone_number": "714-468-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDRAZA",
"first_name": "SANTIAGO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-07",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.