Active NPI
Dianne E Chavez Granillo, COUNSELOR
- Case Manager/Care Coordinator
- Los Angeles, CA
National Provider Identifier
1699005728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 6108 Afton PL
Los Angeles, CA 90028-8370 - Phone
- (323) 461-4118
- Fax
- (323) 461-4119
- NPI assigned
- Jan 13, 2010
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 071636 | CA | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
6108 Afton PL
Los Angeles, CA 90028-8370
Mailing address
1911 W 156TH St SPC 50
Compton, CA 90220-3541
Phone (562) 206-6148
Other practice location 1
1911 W 156th St Spc 50
Compton, CA 90220-3541
Phone (562) 206-6148
Other practice location 2
831 E Arrow Hwy
Pomona, CA 91767-2535
Phone (438) 390-9398
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 |
|---|---|---|---|
| 071636 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1699005728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 W 156TH ST SPC 50",
"city": "COMPTON",
"state": "CA",
"postal_code": "902203541",
"telephone_number": "562-206-6148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6108 AFTON PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900288370",
"telephone_number": "323-461-4118",
"fax_number": "323-461-4119"
}
],
"practiceLocations": [
{
"address_1": "1911 W 156th St Spc 50",
"address_purpose": "LOCATION",
"city": "Compton",
"state": "CA",
"postal_code": "902203541",
"country_code": "US",
"telephone_number": "562-206-6148",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "831 E Arrow Hwy",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917672535",
"country_code": "US",
"telephone_number": "438-390-9398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVEZ GRANILLO",
"first_name": "DIANNE",
"middle_name": "E",
"credential": "COUNSELOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-13",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "071636",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"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 Jul 1, 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.