Individual provider Active NPI

Angelina Teresa Desanto, LCSW

  • Clinical Social Worker
  • Fountain Valley, CA
National Provider Identifier
1497196596
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW80761 Issued in CA
Practice address
8780 Warner Ave Ste 11
Fountain Valley, CA 92708-3210
Phone
(949) 339-9981
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW80761 CA Primary
Rehabilitation Practitioner 225400000X

Addresses

Primary practice location

8780 Warner Ave Ste 11
Fountain Valley, CA 92708-3210

Mailing address

8780 Warner Ave Ste 11
Fountain Valley, CA 92708-3210
Phone (949) 339-9981

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW80761CAMDClinical Social Worker
80761CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1497196596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 WARNER AVE STE 11",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083210",
            "telephone_number": "949-339-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 WARNER AVE STE 11",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083210",
            "telephone_number": "949-339-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTO",
        "first_name": "ANGELINA",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW80761",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.