Active NPI
Ann Santiago
- Clinical Social Worker
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121062
- Practice address
- PO Box 710145
San Diego, CA 92171-0145 - Phone
- (619) 346-4020
- NPI assigned
- Feb 26, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 121062 | CA | Primary |
| Clinical Social Worker | 1041C0700X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
PO Box 710145
San Diego, CA 92171-0145
Mailing address
PO Box 710145
San Diego, CA 92171-0145
Other practice location 1
4158 Decoro St Apt 49
San Diego, CA 92122-1430
Phone (847) 873-3511
Other practice location 2
490 N Grape St
Escondido, CA 92025-3079
Phone (760) 975-9939
Other practice location 3
4660 Viewridge Ave
San Diego, CA 92123-1638
Phone (858) 565-2510
Other practice location 4
5755 Oberlin Dr Ste 300
San Diego, CA 92121-4717
Phone (800) 249-1266
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 |
|---|---|---|---|
| 121062 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients | |
| Community Research Foundation Inc | Clinical | Past | Accepting new patients |
Locations
409 Camino del Rio S
Ste 201
San Diego, CA 92108
Phone (619) 346-4020
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1801462320
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1942834148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 710145",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921710145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 710145",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921710145",
"telephone_number": "619-346-4020"
}
],
"practiceLocations": [
{
"address_1": "4158 Decoro St Apt 49",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921221430",
"country_code": "US",
"telephone_number": "847-873-3511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "490 N Grape St",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920253079",
"country_code": "US",
"telephone_number": "760-975-9939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4660 Viewridge Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231638",
"country_code": "US",
"telephone_number": "858-565-2510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5755 Oberlin Dr Ste 300",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921214717",
"country_code": "US",
"telephone_number": "800-249-1266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO",
"first_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "121062",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.