Active NPI
Stephanie Maritza Santiago
- Social Worker
- Los Angeles, CA
National Provider Identifier
1477221760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW123030
- Practice address
- 815 N El Centro Ave
Los Angeles, CA 90038-3805 - Phone
- (323) 983-1487
- NPI assigned
- Sep 1, 2021
- Last updated
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW123030 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
815 N El Centro Ave
Los Angeles, CA 90038-3805
Mailing address
4456 S Centinela Ave Apt 13
Los Angeles, CA 90066-6258
Other practice location 1
255 S Lake Ave. Suite 300
Pasadena, CA 91101
Phone (626) 432-7270
Other practice location 2
1339 20th St
Santa Monica, CA 90404-2033
Phone (310) 829-8921
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW123030 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1477221760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4456 S CENTINELA AVE APT 13",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 N EL CENTRO AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900383805",
"telephone_number": "323-983-1487"
}
],
"practiceLocations": [
{
"address_1": "255 S Lake Ave. Suite 300",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "91101",
"country_code": "US",
"telephone_number": "626-432-7270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1339 20th St",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904042033",
"country_code": "US",
"telephone_number": "310-829-8921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO",
"first_name": "STEPHANIE",
"middle_name": "MARITZA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW123030",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.