DIANA BERENICE TAVARES JIMENEZ
NPI 1093140873
Social Worker in Culver City, CA

Q: What is Diana Tavares Jimenez's NPI number?

The NPI number for Diana Tavares Jimenez is 1093140873. It was assigned to this individual provider in the NPPES registry on September 11, 2013.

Q: What is Diana Tavares Jimenez's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since September 11, 2013PECOS Enrolled

4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Diana Berenice Tavares Jimenez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA BERENICE TAVARES JIMENEZ (NPI 1093140873) is an individual social worker in Culver City, California and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093140873

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameDIANA BERENICE TAVARES JIMENEZ

Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820

Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (310) 390-6612

Phone(310) 390-6612

Sole ProprietorNo

Enumeration DateSeptember 11, 2013

Last NPPES UpdateJuly 21, 2022

NPPES CertifiedJuly 21, 2022

✔ NPI 1093140873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

4760 SEPULVEDA BLVD, Culver City, CA 90230

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Berenice Tavares Jimenez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERONICA FUENTES

Case Manager/Care Coordinator