Individual provider Active NPI

Ana Maria Diaz Santillan, MSW, PPSC

  • School Social Worker
  • Arcata, CA
National Provider Identifier
1780494898
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Practice address
2400 Baldwin St
Arcata, CA 95521-5168
Phone
(707) 826-1002
Fax
(707) 826-1003
NPI assigned
Jan 10, 2025
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X Primary

Addresses

Primary practice location

2400 Baldwin St
Arcata, CA 95521-5168

Mailing address

2400 Baldwin St
Arcata, CA 95521-5168
Phone (707) 826-1002

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

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1780494898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BALDWIN ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215168",
            "telephone_number": "707-826-1002",
            "fax_number": "707-826-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BALDWIN ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215168",
            "telephone_number": "707-826-1002",
            "fax_number": "707-826-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ SANTILLAN",
        "first_name": "ANA MARIA",
        "credential": "MSW, PPSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.