Active NPI
Denise Ledesma
- Clinical Social Worker
- San Gabriel, CA
National Provider Identifier
1740177344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 76294
- Practice address
- 408 Junipero Serra Dr
San Gabriel, CA 91776-1235 - Phone
- (626) 451-5400
- NPI assigned
- Jun 18, 2025
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 190099484 | CA | |
| Clinical Social Worker | 1041C0700X | 76294 | CA | Primary |
Addresses
Primary practice location
408 Junipero Serra Dr
San Gabriel, CA 91776-1235
Mailing address
408 Junipero Serra Dr
San Gabriel, CA 91776-1235
Phone (626) 451-5400
Other practice location 1
312 S Del Mar Ave
San Gabriel, CA 91776-1356
Phone (626) 291-5723
Other names 1
- Denise Allison Faigao
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 |
|---|---|---|---|
| 190099484 | CA | MD | School Social Worker |
| 76294 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Gabriel Unified School District | Current | Accepting new patients |
Locations
408 Junipero Serra Dr
San Gabriel, CA 91776
Phone (626) 451-5400
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- San Gabriel, CA
- NPI 1972727667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1740177344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 JUNIPERO SERRA DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761235",
"telephone_number": "626-451-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 JUNIPERO SERRA DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761235",
"telephone_number": "626-451-5400"
}
],
"practiceLocations": [
{
"address_1": "312 S Del Mar Ave",
"address_purpose": "LOCATION",
"city": "San Gabriel",
"state": "CA",
"postal_code": "917761356",
"country_code": "US",
"telephone_number": "626-291-5723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEDESMA",
"first_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "190099484",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "FAIGAO",
"middle_name": "ALLISON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.