Diana Reveles

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1041C0700X Issued in CA

Practice address

3711 Long Beach Blvd Ste 500
Long Beach, CA 90807-3319

Phone

(562) 216-2179

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1295863355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E SAN ANTONIO DR APT 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072220",
            "telephone_number": "916-412-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD STE 500",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073319",
            "telephone_number": "562-216-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELES",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Restrepo-Guzman, M.D
• Ilene Reth
• Retina Institute of California Medical Group, a California Medical Par
• Retirement Housing Foundation
• Veronica Florez Reveles-Godinez, LMFT
• Felicia Revero
• Revitalize Life Center a PC
• Revitalize Rehab Club
• Revolving Door Resolution Center
• Desiree Rew, LCSW

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, 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 Apr 28, 2010; 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.