Active NPI
Diana Ramirez Fajardo, LCSW, BCBA
- Behavior Analyst
- Monterey Park, CA
National Provider Identifier
1962843201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-25503
- Practice address
- 601 Potrero Grande Dr
Monterey Park, CA 91755-7430 - Phone
- (323) 827-6529
- NPI assigned
- Jul 15, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 85008 | CA | |
| Behavior Analyst | 103K00000X | 1-17-25503 | CA | Primary |
Addresses
Primary practice location
601 Potrero Grande Dr
Monterey Park, CA 91755-7430
Mailing address
340 W 78TH St
Los Angeles, CA 90003-2414
Phone (323) 376-4710
Other practice location 1
1000 W Carson St
D5.5 #498
Torrance, CA 90502-2004
Phone (310) 222-3818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DR1416 | Other | CA | LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH |
Other names 1
- Ms. Diana Ramirez
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 |
|---|---|---|---|
| 85008 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1962843201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 W 78TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900032414",
"telephone_number": "323-376-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 POTRERO GRANDE DR",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917557430",
"telephone_number": "323-827-6529"
}
],
"practiceLocations": [
{
"address_1": "1000 W Carson St",
"address_2": "D5.5 #498",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022004",
"country_code": "US",
"telephone_number": "310-222-3818",
"fax_number": "310-328-7217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAJARDO",
"first_name": "DIANA",
"middle_name": "RAMIREZ",
"name_prefix": "Mrs.",
"credential": "LCSW, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-15",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "85008",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-17-25503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH",
"identifier": "DR1416",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "RAMIREZ",
"prefix": "MS.",
"credential": "B.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.