Individual provider Active NPI

Sandra Yadira Zavala-Garcia

  • Clinical Social Worker
  • Hayward, CA
National Provider Identifier
1841441425
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114750 Issued in CA
Practice address
21455 Birch St Ste 218
Hayward, CA 94541-2165
Phone
(510) 268-3770
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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 114750 CA Primary

Addresses

Primary practice location

21455 Birch St Ste 218
Hayward, CA 94541-2165

Mailing address

21455 Birch St Ste a
Hayward, CA 94541-2165

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
I20240628000941 CA Order and Referring Only - Clinical Social Worker 6305380585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1841441425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21455 BIRCH ST STE A",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21455 BIRCH ST STE 218",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412165",
            "telephone_number": "510-268-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA-GARCIA",
        "first_name": "SANDRA",
        "middle_name": "YADIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.