Individual provider Active NPI

Diana Carolina Grimaud, ACSW

  • Clinical Social Worker
  • Hacienda Heights, CA
National Provider Identifier
1922869791
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
94788 Issued in CA
Practice address
1763 Armington Ave
Hacienda Heights, CA 91745-3625
Phone
(626) 996-4976
NPI assigned
Jan 19, 2024
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 94788 CA Primary

Addresses

Primary practice location

1763 Armington Ave
Hacienda Heights, CA 91745-3625

Mailing address

1763 Armington Ave
Hacienda Heights, CA 91745-3625
Phone (156) 241-3152

Other names 1

  • Diana Carolina Verdin Former name

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": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1922869791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 ARMINGTON AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453625",
            "telephone_number": "156-241-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 ARMINGTON AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453625",
            "telephone_number": "626-996-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMAUD",
        "first_name": "DIANA",
        "middle_name": "CAROLINA",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "94788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "VERDIN",
            "middle_name": "CAROLINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.