Andrea Granados

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3924 Riverview Dr
Jurupa Valley, CA 92509-6611

Phone

(951) 360-4175

NPI assigned

Aug 23, 2020

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Jurupa Unified School District

  • Local Education Agency (LEA)
  • Jurupa Valley, CA
  • NPI 1861037954

  Clinical

  NPD
• Charter Oak Unified School District

  • Local Education Agency (LEA)
  • Covina, CA
  • NPI 1205013752
  NPD (past)

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1396357083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 RIVERVIEW DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925096611",
            "telephone_number": "951-360-4175",
            "fax_number": "951-683-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 RIVERVIEW DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925096611",
            "telephone_number": "951-360-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANADOS",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2021-11-29",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petronilla Mukuba Gitonga, NURSE PRACTITIONER
• Shayna Golbaf
• Samantha N Gomez
• Hallie Marie Gong
• Gillian Lynne Gow-Barber, RPH
• Makenzie Lynn Green I
• Robert Green
• Vivian Guerra
• Lauren Kelly Guerrero, MS, CCC-SLP
• Marissa Guerrero

• Clinical Social Worker in Jurupa Valley, CA
• Providers in Jurupa Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.