Active NPI
Rebecca Park-Hem
- Clinical Social Worker
- Garden Grove, CA
National Provider Identifier
1376279935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW121565
- Practice address
- 12912 Brookhurst St Ste 400
Garden Grove, CA 92840-4883 - Phone
- (844) 430-0240
- NPI assigned
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | ||
| Clinical Social Worker | 1041C0700X | LCSW121565 | CA | Primary |
| Case Manager/Care Coordinator | 171M00000X | CA |
Addresses
Primary practice location
12912 Brookhurst St Ste 400
Garden Grove, CA 92840-4883
Mailing address
12912 Brookhurst St Ste 400
Garden Grove, CA 92840-4883
Phone (844) 430-0240
Other practice location 1
1835 Sunny Crest Dr
Fullerton, CA 92835-3616
Phone (714) 446-5101
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Southern California Keck School of Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 W Ctr St Promenade
Anaheim, CA 92805-3960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW121565 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Asian and Pacific Islander Community Alliance, Inc. | Current | Accepting new patients |
Locations
12912 Brookhurst St
Ste 400
Garden Grove, CA 92840
Phone (714) 636-9095
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Community/Behavioral Health Agency
- Garden Grove, CA
- NPI 1366336810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1376279935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12912 BROOKHURST ST STE 400",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404883",
"telephone_number": "844-430-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12912 BROOKHURST ST STE 400",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404883",
"telephone_number": "844-430-0240"
}
],
"practiceLocations": [
{
"address_1": "1835 Sunny Crest Dr",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928353616",
"country_code": "US",
"telephone_number": "714-446-5101",
"fax_number": "714-871-3006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK-HEM",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW121565",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"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 Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.