Individual provider Active NPI

Christianne M Wolesky

  • Clinical Social Worker
  • Corona, CA
National Provider Identifier
1326483363
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
82550 Issued in CA
Practice address
1101 California Ave Ste 100
Corona, CA 92881-6472
Phone
(951) 254-2379
Fax
(951) 602-6883
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 82550 CA Primary

Addresses

Primary practice location

1101 California Ave Ste 100
Corona, CA 92881-6472

Mailing address

1101 California Ave Ste 100
Corona, CA 92881-6472
Phone (951) 254-2379

Other practice location 1

17241 Van Buren Blvd
Riverside, CA 92504-5942
Phone (951) 789-4405

Other practice location 2

9500 Haven Ave Ste 200
Rancho Cucamonga, CA 91730-5839
Phone (909) 980-6700

Other practice location 3

770 Magnolia Ave Ste 2F
Corona, CA 92879-3122
Phone (951) 356-5414

Other practice location 4

802 Magnolia Ave Ste 207
Corona, CA 92879-3157
Phone (951) 254-2379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911004797 CA Practitioner - Clinical Social Worker 2961905211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Jul 29, 2025 Accepting new patients
Aliuddin Khaja, MD., Inc PastSince May 8, 2018 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1326483363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CALIFORNIA AVE STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816472",
            "telephone_number": "951-254-2379",
            "fax_number": "951-602-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CALIFORNIA AVE STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816472",
            "telephone_number": "951-254-2379",
            "fax_number": "951-602-6883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17241 Van Buren Blvd",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925045942",
            "country_code": "US",
            "telephone_number": "951-789-4405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Haven Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305839",
            "country_code": "US",
            "telephone_number": "909-980-6700",
            "fax_number": "909-980-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Magnolia Ave Ste 2F",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793122",
            "country_code": "US",
            "telephone_number": "951-356-5414",
            "fax_number": "951-356-5494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Magnolia Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793157",
            "country_code": "US",
            "telephone_number": "951-254-2379",
            "fax_number": "951-602-6883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLESKY",
        "first_name": "CHRISTIANNE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.