Active NPI
Stephanie Grande
- Social Worker
- Santa Ana, CA
National Provider Identifier
1801406921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3601 W Sunflower Ave Ste 100
Santa Ana, CA 92704-7916 - Phone
- (714) 338-1115
- NPI assigned
- Aug 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3601 W Sunflower Ave Ste 100
Santa Ana, CA 92704-7916
Mailing address
3601 W Sunflower Ave Ste 100
Santa Ana, CA 92704-7916
Phone (714) 338-1115
Other practice location 1
470 E 3rd Street
Suite C
Los Angeles, CA 90013-1629
Phone (213) 620-5712 ext. 131
Other practice location 2
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone (213) 241-3841
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": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801406921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W SUNFLOWER AVE STE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047916",
"telephone_number": "714-338-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W SUNFLOWER AVE STE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047916",
"telephone_number": "714-338-1115"
}
],
"practiceLocations": [
{
"address_1": "470 E 3rd Street",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900131629",
"country_code": "US",
"telephone_number": "213-620-5712 x131",
"fax_number": "213-621-4155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 S Beaudry Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900171466",
"country_code": "US",
"telephone_number": "213-241-3841",
"fax_number": "213-241-3305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANDE",
"first_name": "STEPHANIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-04",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.