1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Social Worker
  6. NPI Profile

DMITRI PRIMAVERA
NPI 1235507070
Social Worker in Sacramento, CA

Active since September 10, 2015Opted out of Medicare · through Jan 9, 2028
7171 BOWLING DR STE 911, SACRAMENTO, CA 95823(916) 875-0722(916) 875-0714 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dmitri Primavera NPPES

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

DMITRI PRIMAVERA (NPI 1235507070) is an individual social worker in Sacramento, California and active in the NPI registry since September 2015. He has opted out of Medicare through January 9, 2028.

NPPES Registry Identity

NPI1235507070
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameDMITRI PRIMAVERA
Location Address7171 BOWLING DR STE 911Sacramento, CA 95823-2034
Mailing Address7171 Bowling Dr Ste 911Sacramento, CA 95823-2034 · (916) 875-0722 · Fax (916) 875-0714
Phone(916) 875-0722
Fax(916) 875-0714
Sole ProprietorNo
Enumeration DateSeptember 10, 2015
✔ NPI 1235507070 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.
7171 BOWLING DR STE 911, Sacramento, CA 95823
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dmitri Primavera has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 9, 2024 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2024
Opt-Out In Effect ThroughJanuary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dmitri Primavera's NPI number?

The NPI number for Dmitri Primavera is 1235507070. It was assigned to this individual provider in the NPPES registry on September 10, 2015.

Where is Dmitri Primavera located?

Dmitri Primavera practices at 7171 Bowling Dr Ste 911, Sacramento, CA 95823. The listed phone number is (916) 875-0722.

What is Dmitri Primavera's specialty?

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

Is Dmitri Primavera enrolled in Medicare?

No. Dmitri Primavera has opted out of Medicare through January 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dmitri Primavera was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.