Active NPI
Diana Michelle Rodriguez
- Social Worker
- Riverside, CA
National Provider Identifier
1891467890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ACSW106025
- Practice address
- 3625 14TH St
Riverside, CA 92501-3815 - Phone
- (951) 955-1540
- Fax
- (951) 955-1610
- NPI assigned
- Sep 29, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ACSW106025 | CA | Primary |
Addresses
Primary practice location
3625 14TH St
Riverside, CA 92501-3815
Mailing address
27533 Sutherland Dr
Highland, CA 92346-4335
Phone (909) 955-9504
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 |
|---|---|---|---|
| ACSW106025 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1891467890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27533 SUTHERLAND DR",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923464335",
"telephone_number": "909-955-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 14TH ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013815",
"telephone_number": "951-955-1540",
"fax_number": "951-955-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DIANA",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ACSW106025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.