Individual provider Active NPI

Raely Victoria Saldana, ACSW

  • Clinical Social Worker
  • Diamond Bar, CA
National Provider Identifier
1780495622
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110752 Issued in CA
Practice address
21003 Cool Springs Dr
Diamond Bar, CA 91765-3445
Phone
(909) 720-9691
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110752 CA Primary

Addresses

Primary practice location

21003 Cool Springs Dr
Diamond Bar, CA 91765-3445

Mailing address

21003 Cool Springs Dr
Diamond Bar, CA 91765-3445
Phone (909) 720-9691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260209001619 CA Practitioner - Clinical Social Worker 0244719441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21003 Cool Springs Dr
Diamond Bar, CA 91765-3445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110752CAMDClinical Social Worker
135948CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tumambing Hughes Marriage and Family Therapy Incorporated CurrentSince Dec 27, 2025 Accepting new patients

Locations

150 W Foothill Blvd
San Dimas, CA 91773
Phone (626) 507-3585

150 W Foothill Blvd
Unit A
San Dimas, CA 91773
Phone (626) 507-3585

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1780495622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21003 COOL SPRINGS DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653445",
            "telephone_number": "909-720-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21003 COOL SPRINGS DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653445",
            "telephone_number": "909-720-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDANA",
        "first_name": "RAELY",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.