Individual provider Active NPI

Emmanuel Santana, LCSW 79744

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1366838195
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
79744 Issued in CA
Practice address
5119 Chester St
Los Angeles, CA 90032-3020
Phone
(323) 380-8830
NPI assigned
Apr 8, 2015
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 79744 CA Primary

Addresses

Primary practice location

5119 Chester St
Los Angeles, CA 90032-3020

Mailing address

5119 Chester St
Los Angeles, CA 90032-3020
Phone (323) 380-8830

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
I20250422001343 CA Practitioner - Clinical Social Worker 9931447927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soultenders IncGroup PAC ID 6507170453, 113 clinicians

Practice addresses (Care Compare)

2600 Mission St
Suite 201
San Marino, CA 91108-1676
Phone (626) 623-7478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Therapy, a Licensed Clinical Social Worker P.C. Clinical Current Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Mar 18, 2025 Accepting new patients
Soultenders, Inc. CurrentSince Feb 10, 2025 Accepting new patients
Soultenders Psychological Services, Inc. Clinical CurrentSince Jul 2, 2026 Accepting new patients
Altamed Health Services Corp Past Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

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 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1366838195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 CHESTER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323020",
            "telephone_number": "323-380-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 CHESTER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323020",
            "telephone_number": "323-380-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "EMMANUEL",
        "credential": "LCSW 79744",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.