Individual provider Active NPI

Denise Ledesma

  • Clinical Social Worker
  • San Gabriel, CA
National Provider Identifier
1740177344
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
76294 Issued in CA
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

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
190099484CAMDSchool Social Worker
76294CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
San Gabriel Unified School District CurrentSince Aug 3, 2025 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.

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.

Verify at the official NPI Registry.