TATIANA LUCERO SANTIBANEZ
NPI 1699444174
Social Worker in Los Angeles, CA

Q: What is Tatiana Santibanez's NPI number?

The NPI number for Tatiana Santibanez is 1699444174. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Q: What is Tatiana Santibanez's specialty?

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

Active since September 08, 2021PECOS Enrolled

2121 W TEMPLE ST, LOS ANGELES, CA 90026(323) 491-6418 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2023, Aug 23, 2022, Jun 10, 2022 and 1 more (4 updates tracked since 2021).

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About Tatiana Lucero Santibanez NPPES

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

TATIANA LUCERO SANTIBANEZ (NPI 1699444174) is an individual social worker in Los Angeles, California, licensed in California (109340) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699444174

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTATIANA LUCERO SANTIBANEZ

Location Address2121 W TEMPLE STLos Angeles, CA 90026-4915

Mailing Address2121 W Temple StLos Angeles, CA 90026-4915 · (323) 491-6418

Phone(323) 491-6418

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 8, 2021

Last NPPES UpdateJune 16, 20234 updates tracked since enumeration

NPPES CertifiedJune 16, 2023

✔ NPI 1699444174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 109340

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 109340 (CA)

2121 W TEMPLE ST, Los Angeles, CA 90026

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatiana Lucero Santibanez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385119247

PECOS Enrollment IDI20260408001370

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.

Medicare Billing Reassignment

Medicare enrollment records show Tatiana Santibanez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Venice Family Clinic

10.0 mi

Federally Qualified Health Center (FQHC)

4700 INGLEWOOD BLVD, #102
Culver City, CA 90230

Reassigned Medicare billing, California enrollment
147 clinicians in this Medicare group

NPI 1003842360 (310) 392-8636

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

RONALD FERNANDES

Counselor (Professional)