Active NPI
Dyani Jess Katz, LCSW
- Clinical Social Worker
- San Ramon, CA
National Provider Identifier
1770885972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 26577
- Practice address
- 2410 Camino Ramon Ste 135
San Ramon, CA 94583 - Phone
- (925) 803-7622
- NPI assigned
- Nov 22, 2010
- Last updated
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 26577 | CA | Primary |
Addresses
Primary practice location
2410 Camino Ramon Ste 135
San Ramon, CA 94583
Mailing address
2410 Camino Ramon Ste 135
San Ramon, CA 94583-4318
Phone (925) 803-7622
Other practice location 1
870 Market St
#423
San Francisco, CA 94102-3099
Phone (510) 520-5530
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 |
|---|---|---|---|
| LCS 26577 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Hospice and Palliative Care, Inc | Past | Accepting new patients | |
| Grace Hospice and Palliative Care Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Based Hospice Care Agency
- San Ramon, CA
- NPI 1447506506
-
- Community Based Hospice Care Agency
- San Ramon, CA
- NPI 1295155513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1770885972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 CAMINO RAMON STE 135",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834318",
"telephone_number": "925-803-7622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 CAMINO RAMON STE 135",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94583",
"telephone_number": "925-803-7622"
}
],
"practiceLocations": [
{
"address_1": "870 Market St",
"address_2": "#423",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941023099",
"country_code": "US",
"telephone_number": "510-520-5530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATZ",
"first_name": "DYANI",
"middle_name": "JESS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-22",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 26577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.