Jennifer Grijalva, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
2098 S Central Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 233-3100.
Jennifer Grijalva is licensed to practice in California (license number 112719) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417476276.
Healthcare Provider's Profile
| Full Name | Jennifer Grijalva |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2098 S Central Ave, Los Angeles, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417476276
- Provider Enumeration Date: 09/13/2017
- Last Update Date: 02/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 4486197712
- Enrollment ID: I20240614002695
Medical Identifiers
Medical identifiers for Jennifer Grijalva such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417476276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 91524 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 112719 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Grijalva allows following entities to bill medicare on her behalf.
| Entity Name | Universal Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093023277
PECOS PAC ID: 0547449399
Enrollment ID: O20110125000952 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Grijalva is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jennifer Grijalva,
1301 Pine Ave,
Long Beach, CA 90813-3124
Ph: (562) 595-1159 | Jennifer Grijalva,
2098 S Central Ave,
Los Angeles, CA 90011-1235
Ph: (323) 233-3100 |
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