Individual provider Active NPI

Graziano Mario Mauriz, LCSW

  • Clinical Social Worker
  • Rancho Cucamonga, CA
National Provider Identifier
1962654327
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
78433 Issued in CA
Practice address
8253 White Oak Ave
Rancho Cucamonga, CA 91730-7671
Phone
(909) 987-1997
NPI assigned
Oct 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 78433 CA Primary

Addresses

Primary practice location

8253 White Oak Ave
Rancho Cucamonga, CA 91730-7671

Mailing address

11100 Malone St
Alta Loma, CA 91701-7725
Phone (909) 941-6844

Other practice location 1

18601 Valley Blvd
Bloomington, CA 92316-1831
Phone (909) 214-4393

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
I20180420002193 CA Practitioner - Clinical Social Worker 7911260161 Reassigns benefits to 1 organization
Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
78433CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Oct 2, 2024 Accepting new patients
Indiana University Health Ball Memorial Hospital, Inc. Past Accepting new patients

Locations

18601 Valley Blvd
Bloomington, CA 92316
Phone (909) 546-7520

18651 Valley Blvd
Bloomington, CA 92316
Phone (909) 546-7520

22675 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

21801 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

9380 Magnolia Ave
Riverside, CA 92503
Phone (951) 373-5620

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: graziano.mauriz.p1@direct.chsica.nextgenshare.com

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": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1962654327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 MALONE ST",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917017725",
            "telephone_number": "909-941-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8253 WHITE OAK AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307671",
            "telephone_number": "909-987-1997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18601 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "CA",
            "postal_code": "923161831",
            "country_code": "US",
            "telephone_number": "909-214-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURIZ",
        "first_name": "GRAZIANO",
        "middle_name": "MARIO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "78433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.