Individual provider Active NPI

Diana J Garcia, MSW, LCSW

  • Clinical Social Worker
  • Moreno Valley, CA
National Provider Identifier
1376295626
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128550 Issued in CA
Practice address
12730 Heacock St Ste 2
Moreno Valley, CA 92553-3040
Phone
(760) 620-5554
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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 107079 CA
Clinical Social Worker 1041C0700X 128550 CA Primary

Addresses

Primary practice location

12730 Heacock St Ste 2
Moreno Valley, CA 92553-3040

Mailing address

25719 Lupita Dr
Santa Clarita, CA 91355-2261
Phone (951) 722-2203

Other names 1

  • Diana J Garcia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128550CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hernandez Marriage & Family Counseling Corp. Mental Health PastSince Mar 11, 2025 Accepting new patients

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1376295626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25719 LUPITA DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913552261",
            "telephone_number": "951-722-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 HEACOCK ST STE 2",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533040",
            "telephone_number": "760-620-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DIANA",
        "middle_name": "J",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "107079",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "128550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "GARCIA",
            "middle_name": "J",
            "credential": "TORRES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.