Individual provider Active NPI

Katie M Abajian

  • Social Worker
  • San Ysidro, CA
National Provider Identifier
1710211818
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
338051 Issued in CA
Practice address
482 W San Ysidro Blvd
San Ysidro, CA 92173-2444
Phone
(909) 518-0550
NPI assigned
Sep 23, 2009
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 338051 CA Primary
Clinical Social Worker 1041C0700X 88670 CA

Addresses

Primary practice location

482 W San Ysidro Blvd
San Ysidro, CA 92173-2444

Mailing address

780 Dennery Rd Ste 217
San Diego, CA 92154-8455
Phone (773) 770-5457

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

LicenseStateTypeSpecialty
338051CAMDSocial Worker
88670CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1710211818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 DENNERY RD STE 217",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921548455",
            "telephone_number": "773-770-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 W SAN YSIDRO BLVD",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921732444",
            "telephone_number": "909-518-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAJIAN",
        "first_name": "KATIE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "338051",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ysidro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.