Individual provider Active NPI

Ann Santiago

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1942834148
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121062 Issued in CA
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

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
121062CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Sep 8, 2025 Accepting new patients
Community Research Foundation Inc Clinical PastSince Dec 1, 2022 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.

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.

Verify at the official NPI Registry.