Individual provider Active NPI

Ivonne Pineda Pineda

  • Social Worker
  • Garden Grove, CA
National Provider Identifier
1760267496
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW125202 Issued in CA
Practice address
12966 Euclid St Ste 280
Garden Grove, CA 92840-9202
Phone
(714) 823-4770
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW125202 CA Primary

Addresses

Primary practice location

12966 Euclid St Ste 280
Garden Grove, CA 92840-9202

Mailing address

12966 Euclid St Ste 280
Garden Grove, CA 92840-9202
Phone (714) 823-4770

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
ASW125202CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child Guidance Center, Inc. PastSince Aug 25, 2024 Accepting new patients

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1760267496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 280",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409202",
            "telephone_number": "714-823-4770",
            "fax_number": "714-823-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 280",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409202",
            "telephone_number": "714-823-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA PINEDA",
        "first_name": "IVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW125202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

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