Individual provider Active NPI

Sabrina J Grijalva, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1336819994
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130109 Issued in CA
Practice address
6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920
Phone
(805) 764-9651
Fax
(323) 866-8800
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 130109 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Social Worker 104100000X 107266 CA

Addresses

Primary practice location

6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920

Mailing address

2331 Alhambra Blvd
Sacramento, CA 95817-1108
Phone (408) 854-2147

Other practice location 1

2331 Alhambra Blvd
Sacramento, CA 95817-1108
Phone (916) 732-3699

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
I20260206002532 CA Practitioner - Clinical Social Worker 0941789226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians

Practice addresses (Care Compare)

3625 E Thousand Oaks Blvd
Suite 232
Westlake Village, CA 91362-6932
Phone (818) 518-9715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107266CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Heritage Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715

Organizations & group practices 1

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1336819994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 ALHAMBRA BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171108",
            "telephone_number": "408-854-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 WILSHIRE BLVD FL 19",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484920",
            "telephone_number": "805-764-9651",
            "fax_number": "323-866-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2331 Alhambra Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958171108",
            "country_code": "US",
            "telephone_number": "916-732-3699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIJALVA",
        "first_name": "SABRINA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130109",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "107266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.