Active NPI
Diana Pena
- Clinical Social Worker
- Sanger, CA
National Provider Identifier
1518098664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 94360
- Practice address
- 1664 Tucker Ave
Sanger, CA 93657-3522 - Phone
- (559) 304-4392
- NPI assigned
- Mar 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 61063 | CA | |
| Clinical Social Worker | 1041C0700X | 94360 | CA | Primary |
Addresses
Primary practice location
1664 Tucker Ave
Sanger, CA 93657-3522
Mailing address
2108 N St
Sacramento, CA 95816-5712
Phone (559) 304-4392
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | liaison_01@yahoo.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 94360 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1518098664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 N ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "559-304-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 TUCKER AVE",
"city": "SANGER",
"state": "CA",
"postal_code": "936573522",
"telephone_number": "559-304-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "DIANA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "61063",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "94360",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "liaison_01@yahoo.com",
"affiliation": "N",
"endpointDescription": "DM",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 E 15th St Ste C",
"city": "Merced",
"state": "CA",
"country_code": "US",
"postal_code": "953416217",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sanger, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.