Active NPI
Savann Duong-Sauceda
- Social Worker
- Los Angeles, CA
National Provider Identifier
1700207404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 80238
- Practice address
- 1902 Marengo St Ste 109110
Los Angeles, CA 90033 - Phone
- (310) 733-6041
- Fax
- (323) 276-6479
- NPI assigned
- Dec 23, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 29266 | CA | |
| Social Worker | 104100000X | 80238 | Primary |
Addresses
Primary practice location
1902 Marengo St Ste 109110
Los Angeles, CA 90033
Mailing address
9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Phone (310) 733-6041
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 |
|---|---|---|---|
| 29266 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1700207404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9808 VENICE BLVD STE 700",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902326824",
"telephone_number": "310-733-6041",
"fax_number": "323-276-6479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 MARENGO ST STE 109110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "310-733-6041",
"fax_number": "323-276-6479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG-SAUCEDA",
"first_name": "SAVANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-23",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "29266",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": "80238",
"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 Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.